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Electrical - 220410 - 1400 W Chinden Blvd - 01/20/2022 City of Eagle Electrical Permit 660 E. Civic Lane, Eagle, ID 83616 Inspection Line: (208) 939-4462 Permit Number 220410 Issue Date 01/20/2022 Issue Receipt Matt Phillips ELECTRICIAN APPLIED TECHNICAL SYSTEMS INC 7015 SW McEwan Rd Lake Oswego,OR 97035 503-684-9611 Registration#: ELE-SC-38578 ' : 1/ Property Owner: FRED MEYER STORES INC Subdivision: LAZY P SUB Lot 15 Block 1 Address 1400 W CHINDEN BLVD RESIDENTIAL PERMIT FEES Other Installations-Commercial/Industrial $143.08 Total Fee: $143.08 Job Scope/Notes Electrical work for Fred Meyer Eagle TI *Inspection Phone: 939-4462 Contractor's Printed Name email Contractor's Signature City Clerk/Authorized Personnel