HomeMy WebLinkAboutAPPLICATION - 08-00343 - 975 Hillview Dr - KiddBuilding Safety Department xBV0
CITY OF
City of Rexburg 90 MXBT mG
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19 E Main ionellh@rexburg.org Phone: 208.359.3020 x326 ,> Americns Family Community
Rexburg, ID 83440 www.rexburg.org Fax. 208.359.3024
OWNER'S NAME ® c/
PROPERTYADDRESS Permit # - 08 00343
SUBDNISION a �' �
PHASE LOT BLOCK 975 Hillview Dr -Kidd
HOME O W VER -S ELECTRICAL PERMIT
Home Owner's Name
Addres < fGv' ��/' City <D 6 ' State Zip
Cell Phone Home Phone ( )
Fax ( )
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)
3 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 ' pections. Additional inspections charged at requested inspection rate of $40 per hour.
% ' S! 0 a6fe of Home Owner
The
schedule is the same as
Date
the State
2