HomeMy WebLinkAboutAPPLICATION - 07-00260 - 351 Yale Ave - ElectricalBuilding Safety Department
City of Rexburg
19 E Main janellh@rexburg.org Phone: 208.359.3020 x326
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024
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C I T Y OF
REXBURG
Americas Family Community
OWNER'S NAME 1 S
PROPERTY ADDRESS 3'� i A vc �,
SUBDIVISION
PHASE
LOT BLOCK
351 Yale Ave
Required!fl
ELECTRICAL
Electrical Contractor's Name iv i rltifouZ Business Name C.64� t 2�2 7ti'ZC
Address .) ` �� ��C City u „ fs d, fl en State Zip 2343 f
Cell Phone j q;� q Business Phone ( )
Fax ( ) Emai A,11, ` „r - --- C sP tins
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)
Number of meters being installed
215 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, Swimming 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
*I
S of aximum 3 inspections. Additional inspections charged at requested inspection rate of $40 per hour.
Signature of L" e ed Contractor License number Date
The
schedule is the same as required by the State of Idaho
Permit #07 00260