HomeMy WebLinkAboutAPPLICATION FIRE ALARM - 16-00052 - 250 W 1st N - 12 Plex - Bear Building 1 - EastSubmit by Email ; Building Safety Department 021-
35 N. In E., Resbur& Id 53440 City of RexburgREXBURG
Phone — (208)359-3020 / Hodine — (208)372-2344 / Fax — (208)359-3022 nV
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LOCATION OF WORK TO BE DONE: Z6—(D
Street Address Where Work Will Be Done: *84e W • Ct)
Business Name Where Work Will Be Done:
Dates for Work to Be Done:
Contact Person: (.j e --,s L n
Phone Number: QLaIL -3--;;q — Z ► qi 9 Cell # �L' 3 HiQ 2157
Requiredf ff
Fire Alarm Contractor's Name
Business Name
Cell Phone
Fax $2 4 — 016 2_
FIRE ALARM
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_City L� t C State ! Zip
Business Phone (2,05) 5z4 (4-2—S?_ (ziCr �
(COMMERCIAL/INDUSTRIAL) Total cost of fire alarm system"(Contracted Amount)
(Includes the cost of materials installed regardless oftheparp srr�b_poq A The fees luted under this iveaion type
shall apply to arry and all fi x alarnr installations notspedficaldy mentioned dwvhm on this form).
Up to $10,000 (total cost of system x 0.02) + 60 = $ 1 to 7
Between $10,001- $100,000 ((total cost of system —10.0001 x 0.01) + $260 = $
® Over $100,001 ((total cost of Wtem-100,000) x 0.005) + $1,160 = $
MISCELLANEOUS
® Plan Review per Hour. $65 per hour
p _ _Re- Inspection: $65 per trip
License number &
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Pa
xp. date Date