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Electrical permit Application
Amanda Sa
From:
Sent:
To:
Subject:
Owner's Name
Property Address
Permit #
Subdivision
Block
Electrical Contractor's Namex
Business Name
Address x
442 S 4thB
ZiP*
83440
Cell Phone #x
208-390-5066
bcleishman@msn.com
support@civicplus. comMonday, June 04, 2012 9:27 AMNatalie Schneider; Amanda SaurevOnline Form Submittal: Electrical permit Apptication
Kyle Porterfield
80 South 2nd West
Phase Lot
Todd Leishman
Leishman Electric
City *
Rexburg
Business Phone #
208-3s6-3770
Statex
ID
Fax #
208-3s9-0918
Email
CommerciaUlndustrial
Total cost of electrical 9Vs!9m (Contracted Amount)(Includes the cost ofmaterials instatteo regardless oittre party supptying it. The fees listed under this inspection shall apply to any and all electricalinstallations).
Total Cost
ilull {orks (Contractors ONLy)
$10 fee for work not exceeding $206 in cost and not involving a change in service connections. Does Norrequire inspection.
Residential
New: Single Family Dwelling, including allon living space)
fN/A VJ
with wiring being constructed on each property. (*Based
( ) 3_comma_501 to 4_comma_500 si1_comma
$325 L
( ) Up to 1_comma_500 sq. ft._ $130( ) l_comma_SOl to 2_comma_500 sq.ft._ $195( ) 2_comma_501 to 3_commaj0O sq. ft._ $260
f:* Multi-Family Dwelling (Contractors Only)( ) Duplex Apartment $260( ) Three or more multi_family units ($130 x # ofbuildings)+($65 x # ofunits)
( ) Existing Residence_comma Modular comma
( ) Over4_comma_5O0 sq_comma_ ft._ ($325+ ($65x # of additional l_comma_OOO sq_comma ft. orportion thereof)).
( ) Central Heating/Cooling Systems_ $65 When NOTpart of new residential or HVAC permit with noadditional wiring
( ) Spas_comma_ Hot Tubs cornma and
ffi::*Ttr3r:',M*t,tfi ;m-il1*, poors-,u,
".?htripto inspect
Pumps- Water, Irrigation, S.*g" f"*h motor)[ ] up to 25 Hp- $65
ll 26to zoo Hp- $qs [ ] over 200 HP- $130
Miscellaneous
Fees
[X] Temporary construction services ONLY: 200 [ ] Technical Service: $65 per hourH:iliTffff#cation (ror a period not to- i1 St" chegk-: $65 per hour
t I r"-pot*y amusement: $65 plus $10 per ride,
[ ] Requested Inspeciion: $65
concession or generator
t I Irrigation Machine: $65 for center pivot plus $ 10per tower or drive motor
gll"1{ yffi;:ffi;Tlt:fJ,1lT:,il1Tffi#lgixlx?:itrff.y'tmav reasonabrv ueyirileo ror sreeping, eating, cooking,Bron Leishman v'r vuPvDEr' A' unrlnlsned basement is considered part of the riuing ,iu.?.
;ffitr;orlicensed contractor. ;fj,l," Number *
'!ll.!rJrr".
Datex
x indicates required fields.
The following form was submitted via your website: Electrical permit Application
Owner's Name: Kyle porterfield
Property Address: g0 South 2nd West
Permit #:
Subdivision:
Phase:
Lot:
Block:
Electrical Contractor's Name: Todd Leishman
Business Name: Leishman Electric
Address :442 S 4thE
City: Rexburg
State: ID
Zip:83440
Cell Phone #: 208-390-5066
Business Phone #: 20g-356_3770
Fax #: 208-359-091g
Email : bcleishman@msn.com
Total cost of electrical system (Contracted Amount):
Total Cost: N/A
New: Single Family Dwelling, including all buildings with wiring being constructed on each property. (*Basedon living space):
New: Multi-Family Dwelling (Contractors Only) :
Pumps- Water, Irrigation, Sewage (each motor): not checked
Fees: Temporary construction services oNLY: 200 amps or less, one location (for a period not to exceed Iyear): $65
Signiture of Licensed Contractor: Bron Leishman
License Number : c1934
Exp. Date: 4/30/13
Date:6/4/2012
Add itional I nformation :Form submitted on: 6t4t2012 g:27:06 AMSubmitted from tp Address: tZq]liA.5Z.ZS
Form Address:
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Phone No. 3'lO - SbbQ
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Inspection Type
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Inspector's Report tr Res.Comm.
INSPECTED ITEMS CONFORM TO APPROVED DWCS f]Y DN
DFINAL
INSPECTOR'S ACTION
NAPPROVED
nc.o. (FINAL)
ACTION REQUIRED:
DTSAPPROVED
Rec'l Acknowledged
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ACTION REQUIRED:
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Rec't lcknowledged Vefo,r, ' Job CoPY
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