HomeMy WebLinkAboutAPPLICATION - 08-00393 - Maverik - ElectricalBuihog Safety DepartmenO
City of Rexburg
19 E Main jonellh @rexburg.org Phone: 208.359.3020 x326
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024
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CITY OF
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America's Family Community
OWNER'S NAME 1 7 11 1 i1 r�
PROPERTY ADDRESS Z5 /1/ 2, '^-sL- �a .��' Permit#
SUBDIVISION
PHASE
LOT BLOCK
Requiredffl ELECTRICAL
Electrical Contractor's Name sc� �' Business Name C-
Address / - y &X - City ;�`o State
Cell Phone (.2� 7145�-- / yJ Business Phone (--kr ,71.E - /a Z a
Fax ( ) Email
Electrical Estimate (cost of wiring & labor) $ ll - O RCOMMERCIAL /MULTI - FAMILY ONLY)
(includes the cost of materials installed regardless of the party .supplying it).
TYPES OF INSTALLATION
(New Residential includes everything contained within the residential structure and attached garage at the same time)
RESIDENTIAL ONLY
❑ *Up to 1,500 sq ft - $72 ❑ *1,501 to 2,500 sq ft - $120
❑ *2,501 to 3,500 sq ft - $168 ❑ *3,501 to 4,500 sq ft - $216
❑ * *Over 4,500 sq ft - $216 plus $.04 /sq ft: sq ft total
❑ Existing Residential (# of Branch Circuits) - $40 plus $10 per circuit:
# of circuits
• Temporary Construction Service, 200 amp or less, one location (for a period not to exceed 1 year) - $40
• Spa, Hot Tub, Swimming Pool - $40 plus $40 grounding grid where applicable
• Electric Central Systems Heating and /or Cooling ( when not part of a new residential construction permit
and no additional wiring) - $40
• Modular, Manufactured or Mobile Home - $50 plus $10 per circuit
V Other Installations: Wiring not specifically covered by any of the above:
Cost of Wiring & Labor $ — // 2 2- 5 - 00 (Includes the cost of materials installed regardless of the party supplying it).
❑ Pumps (Domestic Water, Irrigation, Sewage): horse power
❑ Requested Inspections (of existing wiring) - $40 /hr (1 hr minim plus $40 /hr thereafter
*Includes a maximum of 3 inspections. Additional inspections charged at requested inspection rate of $40 per hour.
** Includes a maximum of 4 inspections. Additional inspections charged at requested inspection rate of $40 per hour.
Signature of Licensed Contractor License number Date