HomeMy WebLinkAboutAPPLICATION - 07-00551 - 326 W 3rd S - ElectricalBuilding Safety Department � 44BXBEV7 CITY OF
City of Rexburg nr�T mG
RE � V 1G
19 E Main ionellh @rexburg.org Phone: 208.359.3020 x326 Americ4 Family Community
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024
OWNER'S NAME /" r Cz aryl &-r
PROPERTY ADDRESS
SUBDIVISION
PHASE LOT BLOCK
Permit #07 00551
326 W 3rd S- Garner
HOME O W NER'S ELECTRICAL PERMIT
Home Owner's Name Lr,3 4 G"'de,
Address 32( W �3 ° City �� 9 State d�� Zip ? d
Cell Phone (206) _ �/ VO4 Home Phone Vag)
Fax ( ) Email
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 speci# lly 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 Home Owner
The
schedule is the same as
Date
the State of Idaho