HomeMy WebLinkAboutALL DOCS - 06-00554 - Upper Valley Industries - ElectricalBuilding Sofety Depqrlmenl
City of Rexburg
Phone: 208.359.3020 x326
Fox: 208.359.3024
jonellh@rexburg.org
www.rexburg.org
O\flNIER'SNAME t? , '-u ?lrC)u{
PROPERTYADDRESS' /(o il :Z naEU<f
SUBDIVISION
PHASE
CITY OF
REXBURG
Ame i ub Fa m i ly Communily
LOT
06 00554
U pper Vallel' Industri es- El ectricalBLOCK-
Required!!! 4r,frFggffi1cet
Electrical Contractor's Name L q ^ n'. pL-e&€tf4LBusiness Name
Address / 78 ^/ g teo€citv SYA n'f4r-ry st^te:ZD__Zip
Cell Phone (ffi) .? t 7 - t 73 a Business phone (5/|[fta
Fax (pp)
Electrical Estimate (cost of wtuing & labot) g (COMMERCTAL/MULT r-FAMTLY ONLY)
TYPES OF INSTALLATION
(l''lew Residential includes evetything contaiaed u,ithin the residential sftucture and attached gatage at the sante time)
Up to 2oo amp servicex \Aqln, Eynfr,?
207 to400 amp Servicex a:,eck;."r&FJord
over 400 amp servicex fitnt!-l^nf gq,f6d,
Temporary Construction Service, 200 amlTp SW ifg fmfhtfV?:riod not to exceed I year)
Existing Residential (# of Branch circuits fftifCnqV4if\I+4f,ed
spa, Hot Tub, swimming Pool P k" S4 l)l ff \W
Electric-Centtal Systems Heating andf ora tf 0O 1t VtPt fa
--jdential construction permit
and no additional wiring)
Modular, Manufactured or Mobile Home
7a Othet Instdlations: Widng not specifica\ covered by any of the above
Cost ofWidng &Labor: $ 3p O *<.
Pumps (Domestic Water, Irigation, Sewage)
Requested Inspecdons (of existing rxriring)
Temporary Amusement/ Industry
*Inc maximum of 3i ions. Additional inspections charged at requested inspection rate of $40 per hopr.
ofLicensed Contractor 2.h/"-{
License number
3
The 's temit fu schedale * the same at the State ofldaho
City of Rexburg
Department of Community Deve ReceiptNunber: Wffi.w66
19 E t\4ain St. / Rexburg, tD. 83440
Fhone (208) 359-3020 | Fax (2O8\ 359-3022
RPRRG1035 pcrmit - Eectrical
PAID
Nov I 6 a006
CITV OF REXtsUHg
$ 40.00
genprntrreceipts
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