HomeMy WebLinkAboutAPPLICATION - 06-00579 - 63 E 1st S - ElectricalBuilding Safety Department
City of Rexburg
19Ecin
Rexburg, ID 83440
janet�h@rexburg.org
www.rexburg.org
her4 208.359.3020 x326
F.1 208.359}3024
OWNER'S NAD -IF,
PROPERTY ADDRESS
SUBDIVISION
RHASE LOT BLOCK
HOME OWNER'S ELE
Home Owner's Name
Address
Cell Phone ( ) Home Phone
Fax ( ) Email,
})
! TY O F
["Ar4L Alt! jR
Amerce Family Commuijity
Pertm't#
TYPES OFIIVSTALLATIOIV (RESIDENTIAL)
(Ne w Residendal .includcs everything con rained urthrn the residential structure and attac
[]p to 200 amp Service*
t0 44Q amp SetxTice*
Over, 400 amp Service*
bed garage at the same time)
Tempotary Construction Service, 200 amp or less, one location (for a period not to exceed 1 yea -t)
Existing Residential (# of Branch Clrctn'ts)
Spa, Hat Tub, SwM*Unmg Pool
Electric Central Systems Heating and/or Coo g (when not pari of a n.ersi' residential construction Permit
and no additional wiring)
Modular,, Manufactured or Mobile Home
Other Installations: Miring not specifically covcrc
Cost of Wiring & Labor: $
Pumas (Dotnestic Water, Irrigat.ion, Sewage)
Requested Inspections (of existing tiviriazg)
Temporary Arnusetyicnt/ Industry
d by any of the above
*Includes a maxum of 3 h'ispections. Additional it -ftoms, charged at r Tl t 11-1 p tion late pet hout,
ignr
me Tr
The City of Rex&urg s permit fee .rched�le is the sa�ae �r �equxred bythe State of Idaho