HomeMy WebLinkAboutAPPLICATION - 08-00336 - 653 Rolling Hills Dr - ElectricalBuildifig Safety Department
City of Rexburg
19 E Main lanellh@rexburg.org Phone: 208.359.3020 x326
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3024
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OWNER'S NAME - ��� ,Y✓c°
PROPERTY ADDRESS
SUBDIVISION
PHASE
LOT BLOCK
Required.!!
0800336
653 Rolling Hills Dr
ELECTRICAL
Electrical Contractor's Name S c� - - Business Name �' `�" �< Z5 c= /Y f r
Addres V' 0 ,0. ArAD_-+' City 1 ,61 j State Zip y
Cell Phone (9q�7 7r� — �a �� Business Phone ( )
Fax ( ) Email
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
*Includes a maximum of 3 inspections. Additional inspections charged at requested inspection rate of $40 per hour.
Signature of Licensed Contractor License number Date
The City of Rexburg's permit fee schedule is the same as required by the State