HomeMy WebLinkAboutELECTRICAL DOCS - 08-00133 - 37 S 4th W, A - Electrical & Basement FinishBuilding Safety Department
City of Rexburg
19 E Main lanellh@rexburg.org Phone: 208.359.3020 x326
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024
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C[ T Y OF
MXBURG
Americas Family Community
OWNER'S NAME 1 Ko
PROPERTY ADDRESS _ 2�
SUBDIVISION Z—e ' C
PHASE LOT BOCK
08 00133
37 S 4th W- Stoker
Required!!!
ELECTRICAL
Electrical Contractor's Name h �—�" r -��`S Business Name
1 L W( w-cyf City � State zip
Address ��
Cell Phone (jodl) L[Q -- q Iq Business Phone (
Fax W) LOS& _0Q L ° h Email --
Electrical Estimate ( cost of wiring & labor) $ (COMMERCIAL /MULTI - FAMILY ONLY)
TYPES OFINSTALLATION
(New Residential includes everything contained within the rav ;Wpntial vtr:ietnre and attached xrara-ve at the same time)
Number of meters being installed
Up to 200 amp Service*
201 to 400 amp Service*
— Over 400 amp Service*
Existing Residential (# of Branch Cl
Temporary Construction Service, 20
Spa, Hot Tub, Swimming Pool
i exceed 1 year)
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 um of 3 pections. Additional inspections charged at requested inspection rate of $40 per hour.
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Signature of icensed Contractor License number Date
The City of Rexburg's permit fee schedule is the same as required by the State of Idaho
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INSPECTION TICKET •
❑ Bldg. ❑ Plumb.
Elect. ❑ Mech. ❑ Fire
Inspection Request Recd By ��
Date
Req. By
— w i Phone No.C;bS - I
Project
Permit No.
Address —
Address
Inspection Type
Day/Time Req.
V6 n a
INSPECTED ITEMS CONFORM TO APPROVED DWGS 0 ❑ N ® N/A
INSPECTOR'S ACTION
❑ APPROVED
❑ C.O. (FINAL)
ACTION REQUIF
DISAPPROVED ❑ FINAL
❑ NOT APPI . CABLE ❑ DID NOT INSPECT
Signed
Inspector
White - Office Copy Yellow - lob Copy Pink - Inspector's Copy
i..o..on�nr�c RE.nart FA R PC_ ❑ Comm.