HomeMy WebLinkAboutAPPLICATION - 08-00325 - 708 Centennial Loop - Temporary PowerBuilding Safety Department c F4VXBVRq
City of Rexburg �� s
19 E Main jonellh @rexburg.org Phone: 208.359.3020 x326
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024
OWNER'S NAME
PROPERTY ADDRESS Loop
SUBDIVISION
PHASE F3 LOT BLOCK Z
C I T Y OF
REXBURG
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America's Family Community
#08 00325
708 Centennial Loop- Temporary Power
Required!fl
ELECTRICAL
Electrical Contractor's Name L-' Ro d FJ e S
Business Name
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Address 1) Dr, City
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State
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Zip
Cell Phone (2blb) '/U3 - 5 / H Business Phone (zob) 6 - O y 6
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)
Number of meters being installed
Up to 200 amp Service*
201 to 400 amp Service*
Over 400 amp Service*
Temporary Construction Service, 200 amp or less, one location (for a period not to exceed 1 year)
Existing Residential (# of Branch Circuits)
4 Spa, Eof �Tub) S wimming 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- Additional inspections charged at requested inspection rate of $40 per hour.
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Signaturt of Licensed Contractor License number ate
The
schedule is the same as required by the State of Idaho