HomeMy WebLinkAboutAPPLICATION - 07-00306 - 608 Lilac St - Electrical MeterBuilding Safety Department
City of Rexburg
19 E Main jonellh@rexburg.org Phone: 208.359.3020 x326
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024
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CITY O F
REXBLRG
Americas Family Community
OWNER'S NAME M i d j NtX-(AIJ �1? AI W Q P N2 W- ' S 19 � T/
PROPERTY ADDRESS (o O E� L- i LA ,:. Permit #07 00306
SUBDIVISION /71 /64oILoyj 'I RAtLA PAT K
PHASE LOT BLOCK Millhollow Trailer Park
Required!fl
ELECTRIC
New Meter
Electrical Contractor's Name A Y�P�I �E I Y#I-f & Business Name � �C'�� ��✓1 � l-�G
Address 4q55 aUf) ST• City Ri`Xogu2� -, State T °i7 • Zip 0 3
Cell Phone (2CC) 70 - 3 3'0 Ce Business Phone �'� � 5 a ' ?7 q �
Fax (2 ct� Email
Electrical Estimate (cost of wiring & labor) $ 0 0 (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
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
*Includes a magnum of 3 inspections. Additional inspections charged at requested inspection rate of $40 per hour.
Signature of Licensed Contractor
35x-19
License number
ate
The City of Bexbur,g's permit fee schedule is the same as required by the State of Idaho