HomeMy WebLinkAboutAPPLICATION - 07-00391 - 243 S 1st E - ElectricalBuilding Safety Department
City of Rexburg
19 E Main ionellh @rexburg.org Phone: 208.359.3020 x326
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024
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C IT Y OF
REXBURG
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Americas Family Community
OWNER'S NAME M4i(_IkR-e_rL_ C%rAf'\ AU,1)��C --rz _
PROPERTY ADDRESS ;2 'c cy Ti•1 In' eft S
SUBDIVISION
PHASE
0700391
LOT BLOCK 243 S 1 st E -New Service
HOME O W 'S ELECTRICAL PERMIT
Home Owner's Name 601' A!,
Address 5 CUT I J I S'" 0;e'IS'r City State I DL Zip g W G
Cell Phone ( -- Home Phone (�L ,'�5�!- •�lr 5
Fax ( )- Email WW'l 0,44 -ct,
TYPES OFINSTALLATION(RESIDENTIAL)
(New Residential includes everything contained within the residential structure and attached garage at the same time)
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 maximum of 3 inspections. Additional inspections charged at requested inspection rate of $40 per hour.
Signature of HomW Owner
The
schedule is the same as
-�.�- L7
Date
the State of Idabo
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