HomeMy WebLinkAboutAPPLICATION - 07-00460 - Hidden Valley Subdivision Park - Electricalw`
Building Safety Department ���kXBURG
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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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PROPERTY ADDRESS _j
SUBDIVISION
PHASE LOT BLOC
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RequlredN ELECTRICAL
C I T Y O F
REXBURG
Cy , _.___._.__.___
America's Family Community
Permit #07 00460
Hidden Valley Subdivision -Park
Parcel # RPR14DVY601PARK
Electrical Contractor's Name �� �A &m Business Name k)L_ %_ FVeC
Address P U I City A 4 .a State -_i� b Zip ;�f _` t :�`
Cell Phone (ZO$) 2RQ7�J�?_ Business Phone ( )
Fax (
Electrical Estimate (cost of wiring & labor) $
(COMMERCIAL /MULTI - FAMILY ONLY)
TYPES OF INSTALLATION
(New Residential includes everything contained within the residential structure and attachedgarage 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 maximum of 3 inspections. Additional inspections charged at requested inspection rate of $40 per hour.
5
Signature of Licensed Contractor License number
Email
7-do-
Date
The City of Bexburx's permit fee schedule is the .came as required by the State of Idaho