HomeMy WebLinkAboutAPPLICATION - 08-00524 - 530 N 2nd E - Kmart Parking LotBuilding Safety Department
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City of Rexburg `i oy
19 E Main ionellh@rexburg.org Phone: 208.359.3020 x326
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024
CITY O F
REXBURG
Americas Family Community
OWNER'S NAME Ok_ ad�
PROPERTY ADDRESS Sao AZ&44 �oo Y' Permit#
SUBDIVISION 4)aGQ
PHASE LOT BOCK
Required!!!
ELECTRICAL
Electrical Contractor's Name 1&,., A F Business Name "a
Address /', (? /SrJc Y Cf - G ..r S'T City State a Zip 8 3y4 C
Cell Phone (209) 370 6 Business Phone (�) 'M - '1 3 2 - 3
Fax (gyp) y31° 4 t36.3 Email
Electrical Estimate (cost of wiring & labor) $ yL� (COMMERCIAL /MULTI - FAMILY ONLY)
TYPES OFINSTAT.LATION(RESIDENTIAL)
(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*
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 charg at requested inspection rate of $40 per ho
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Signature of Licensed Contractor License number Date
The
schedule is the same as required by the State of Idaho
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