HomeMy WebLinkAboutAPPLICATION - 07-00493 - Porter Park - ElectricalBui
Safety Department
City of Rexburg
19 E Main
Rexburg, ID 83440
janellh@rexburg.org Phone: 208.359.3020 x326
www.rexburg.org Fax: 208.359.3024
7
C I T Y O F
REXBURG
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Americas Family Community
OWNER'S NAME C - T e_ ,bUy-
PROPERTY ADDRESS 2 0 1AJ r
SUBDIVISION
PHASE
LOT BLOCK
Requiredffl
ELECTRICAL
250W 2nd S
Electrical Contractor's Name whee ' � /�, �� Business Name W V AJIA
Address `` o q W S� City 1`b 4N VA1s State C �D Zip %3 `1 u 3
Cell Phone ( ) Business Phone (ZCIR) SZZ 9Q(.
Fax (fig) SZ7
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
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
*Inc es a maximum of 3 inspections. Additional inspections charged at requested inspection rate of $40 per hour.
C- ( (S�O Ifs - Z - ol
Sidature of Licensed Contractor License number Date
Permit #07 00493
Porter Park - Electrical Only
The 00 of Re xburg's permit fee schedule is the same as required by the State of Idabo