HomeMy WebLinkAboutAPPLICATION - 07-00622 - 707 Lupine St - 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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CITY OF
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Americas Family Community
OWNER'S NAME U M rt
PROPERTY ADDRESS _7 j v p c n Q S-'
SUBDIVISION M i l i h o l l O w "f - c- l -tr
PHASE LOT BLOCK
07 00622
707 Lupine St- Romrell
HOME OWNER'S ELECTRICAL PERMIT
Home Owner's Name D v 5 f r\ ' R OM (t 1 I
Address City State Zip
Cell Phone 909) _ - 7 1 to - X7 7 3 Home Phone
Fax ( ) Email
TYPES OF INSTALLATION
(New Residential includes everything contained within the residential structure and attached garage at the same time)
For power supplier requirements visit www.rockymtnpower.net
Number of meters being installed
V 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
*Includ¢s a M aximum. of 3 inspectio ditional insp ons charged at requested inspection rate of $40 per hour.
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Signature of Home Owner Date
The City of Bexburg's permit fee schedule is the same as required by the State of Idaho