HomeMy WebLinkAboutAPPLICATION - 08-00219 - SnoShack - Electrical ServiceBuilding Safety Department 4EXB�R�
X04 r C[TY OF
City of Rexburg 7 --- —
U REX BURG
Ow
19 E Main janellh @rexburg.org Phone: 208.359.3020 x326 Americas Family Community
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024
OWNER'S NAME 64WJ -01 Pofh -'f 0800219
PROPERTY ADDRESS 72 h' 7 -Ad F. fexL-y!4 SnoShack
SUBDIVISION
PHASE LOT BLOCK 328 N 2nd E
Required.!! ELECTRICAL
Electrical Contractor's Name `-J CR Q `f Vi(LG _ Business Name Y 4 2 io i EL ITQ i c
Address ( I I 0- Ci; N - l - E7L City RE k9 UL G State MQ. Zip 8315 b
Cell Phone (Zvi ) 3SI - 15 ZO Business Phone (208) 35(,P
Fax ( )
Electrical Estimate (cost of wiring & labor) $ (COMMERCIAL /MULTI - FAMILY ONLY)
TYPES OF INSTALLATION
(New Residential includes everything contained within the residential structure and attached garage at the same time)
Up to 200 amp Service*
201 to 400 amp Service*
Over 400 amp Service*
Z Temporary Construction Service, 200 amp or less, one location (for a period not to exceed 1 year)
Existing Residential (# of Branch Circuits)
Spa, Hot Tub, Swimming Pool
Electric Central Systems Heating and /or Cooling (when not part of a new residential construction permit
and no additional wiring)
Modular, Manufactured or Mobile Home
Other Installations: Wiring not specifically covered by any of the above
Cost of Wiring & Labor: $
Pumps (Domestic Water, Irrigation, Sewage)
Requested Inspections (of existing wiring)
Temporary Amusement /Industry
*Includes a maximum of 3 inspections. Additional inspections charged at requested inspection rate of $40 per hour.
42'777 7 - L)8
atui of Licensed Contractor License number Date
The Cite of Rexburg r permit fee schedule is the same as required by the State of Idabo