HomeMy WebLinkAboutAPPLICATION - 08-00074 - 417 S 12th W - Electrical MeterBuilc:.!.ig Safety Department
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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CITY O F
REXBURG
Americas Family Community
OWNER'S NAME V1 t j
PROPERTY ADDRESS - t 7'
SUBDIVISION
PHASE
LOT BLOCK
Permit #08 00074
417 S 12th W -New Meter
Requiredffl ELECTRICAL
Electrical Contractor's Name L-- A - t sines Name
Address ,s / Sul - t1 401 4. i City State Zip $34�{n
Cell Phone cc---F) Y0 �, - - %'(-P ! Y Business Phone (Zoe) cr
Fax (W) - ( S U' Email f- <-� 1� , C� ✓
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)
I Number of meters being installed
Up to 200 amp Service*
201 to 400 amp Service*
Over 400 amp Service*
Existing Residential (# of Branch Circuits) Kjb t1C,-J d `
Temporary Construction Service, 200 amp or less, one location (for a period not to exceed 1 year)
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
*Include � a maximum of 3 inspections. Additional inspections charged at requested inspection rate of $40 per hour.
Signatur of Licensed Contractor License number Dad
The City of Rexburg's permit fee schedule is the same as required by the State of Idabo
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