HomeMy WebLinkAboutVOID APPLICATION - 07-00011 - 1120 Green Willow Dr - New SFR- Buildi-g Safety Department...
City of Rexburg
19 E Main ionellh@rexburg.org Phone: 208.359.3020 x326
Rexburg, ID 83"0 www.rexburg.org Fax: 208.359.3024
OWNER'S NAME
PROPERTY ADDRESS 11 14 is awn wit I ny V f.
SUBDIVISION
PHASE
BLOCK
Reguire&ff ELECTRICAL
Electrical Contractor's Name T Business Name
CITY OF
REXBURG
(14
Americas Family Community
07 00011
1 120 Green Willow Dr - Electrical
Cell Phone ( )q, — \Sd�Business Phone
Fax ( ) _
Electrical Estimate (cost of wiring & labor) $ (COMMERCIAL//MiJLTI-FAMILY ONLY)
TYPES OFINSTALLATION
(New Residential includes everydiing contained within the residential structure and al ched'garage 'atW1 tune
1 Number of meters being installed
Up to 200 amp Service* ` 7�
201 to 400 amp Service* /
Over 400 amp Service*
Temporary Construction Service, 200 amp or
Existing Residential (# of Branch Circuits)
Spa, Hot Tub, Swimming Pool \
Electric Central Systems Heatingland/or Cooling (when not
and no additional wiring)
Modular, Manufactured or Mobile Home L
Other Installations: Wiring not specifically covered by
Cost of Wiring & Labor: $
Pumps (Domestic Water, Irrigation, Sewage)
Requested In cctions (of existing wiring)
Temporary Amusement/Industry
a for a p od not to�xceed 1 year)
the�Rllvel 4 2007 I U I
CITY 0 XBURG
*Includes a maximum of 3 inspections. Additional inspections charged at requested inspection rate of $40 per hour.
used Contractor License number Date
The City of Rexi5my s permit fee schedule is the .came as required by the State o(Idaho
7