HomeMy WebLinkAboutAPPLICATION - 07-00304 - Tennis Court - Electrical MeterBuilding Safety Department
City of Rexburg
C I T Y OF
REXBURG
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Americo Family Community
19 E Main laneiih @rexburg.org Phone: 208.359.3020 x326
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024
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OWNER'S NAME t y t,Q 'S m
PROPERTY ADDRES 2.'� S , 9 "=D 5
SUBDIVISION NA Y� Lk 1 \(e Pk k
PHASE LOT BLOCK
Permit #07 00304
1322 S 2nd E
Tennis Court Electrical Meter
RequlredLY
ELECTRICAL
Electrical Contractor's Name &) (ARA, � Business Name _ CAfDe�
Address ' 4006 City � Mate Zip 89't �
Cell Phone ( ) 3 e'1 e!> —1:)% ► Business Phone
Fax ( ) Email
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Electrical Estimate (cost of wiring & labor) $ • ft ` (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, 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
*Inclu a maximum of 3 inspections. Additional inspections charged at requested inspection rate of $40 per hour.
M__ C:- (Cis(
ignature of Licensed Contractor License number
The City of Bexburg's permit fee schedule is the same as
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Date
the State of Idabo
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