HomeMy WebLinkAboutAPPLICATION - 07-00001 - 249 S 3rd E - ElectricalBuilding Safety Department ��� °R� C[ T Y o F
City of Rexburg � 'o � BtJ1G
X nT mG
T
19 E Main lanellh@rexburg.org Phone: 208.359.3020 x326 Americas Family Community
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024
OWNER'SNAME C ��'� 6 -e c���Sel� Permit # 07 00001
PROPERTY ADDRESS a L-Wl b o o F , g,
SUBDIVISION 2 49 S 3rd E- Goodsell
PHASE LOT BLOCK
Requiredffl ELECTRICAL
'�� cJ� cal
Electrical Contractor's Name Business Name Le
Address City Kc 6 L` State �! Zip s - 3 I�
Cell Phone ( ) Business Phone ( ) �� f, - -- D - 1'
Fax (
Electrical Estimate ( cost of wiring & labor) $ (COMMERCIAL /MULTI - FAMILY ONLY)
TYPES OF INSTALLATION
(New Residential includes everything contained within the residential structure and attached garage at the same time)
X Up to 200 amp Service*
201 to 400 amp Service*
Over 400 amp Service*
Temporary Construction Service, 200 amp or less, one location (for a period not to exceed 1 year)
Existing Residential (# of Branch Circuits)
Spa, Hot Tub, Sw immin g Pool
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 maximum of 3 inspections. Additional inspections charged at requested inspection rate of $40 per hour.
l � 34 1 1 -
Signature of Licensed Contractor License number Date
The
schedule is the same as required by the State of Idaho
7