HomeMy WebLinkAboutPA SUMMARY - 18-00726 - Fall Creek Skin and HealthApplication
Summary
Application Number: 18-00726
BLD-ELEC - Electrical Only Commercial
Received Date: 12/27/2018 Fall Creek Skin and Health, LLC
Address: 534 Trejo St
Property Information
534 Trejo St TREJO PROFESSIONAL PARK DIVISION NO. 1RPRTREJO010010
People Information
Applicant - Fall Creek Skin and Health, LLC 535 Trejo St Ste 400
Rexburg, ID 83440
Home: 208-359-2263
Owner - Nelson Electric PO Box 142
karren@nelson-electricllc.com Menan, ID 83434
Contractor Information
Electrical Contractor - NELSON ELECTRIC LLC ELE-C-38127 (11/30/2018)
greg@nelson-electricllc.com PO Box 142
Menan, ID 83434Work: 208-754-9389
Mobile: (208)390-3424
Permit Information
Detail Description Quantity Value
Lighing/RetrofitPlease describe the work being done
2,159.00What is the cost of electrical system being installed? 2,159.00
Number of Main Services being Installed/Updated 0.00
Number of temporary services being installed 0.00
How many circuits are being installed? 0.00
Are any generators being installed? No = 0 Yes = 1 0.00
Number of irrigation machines being installed 0.00
Number of irrigation pumps being installed 0.00
Number of spas, hot tubs, and/or swimming pools being
installed
0.00
Temporary amusement - number of rides, concessions,
and/or generators
0.00
NOther Electrical work? If yes, explain
YBy checking this box, I acknowledge the requirement for
contractors to be registered with the State.
Comments
Page 1 of 2Print Date: 12/28/2018
Application
Summary
Application Number: 18-00726
BLD-ELEC - Electrical Only Commercial
Received Date: 12/27/2018 Fall Creek Skin and Health, LLC
Address: 534 Trejo St
Fee Information
Fee Code & Description Amount
$104.00Electrical - Non-Res or General by Cost (BLDELNR@)
$0.00Electrical - Misc. $65 base + $10 per ea (BLDELWRK2)
$0.00Electrical - Misc./Hourly/Extra/Reinspec (BLDELWRK)
$11.00Electrical - Plan Review (BLDELPCK)
$115.00
Payment Information
Payment AmountTender Type Reference InfoPayment Date
Page 2 of 2Print Date: 12/28/2018