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Electrical - 221033 - 2206 N Black Forest Ave - 03/14/2022 City of Eagle Electrical Permit 660 E. Civic Lane, Eagle, ID 83616 Inspection Line: (208) 939-4462 Permit Number 221033 Issue Date 03/14/2022 Issue Receipt Rodney Monroe ELECTRICIAN Same Day Electric 4684 W Chinden Blvd Boise,ID 83714 208-377-3278 Registration#: 032084 ' C1/ : I I Property Owner: LEBLANC LORI M TRUST 6/29/2012 Subdivision: LANEWOOD SUB NO 05 Lot 13 Block 07 Address 2206 N BLACK FOREST AVE RESIDENTIAL PERMIT FEES Existing Residential $75.00 Total Fee: $75.00 Job Scope/Notes install circuit for Tesla charger *Inspection Phone: 939-4462 Contractor's Printed Name email Contractor's Signature City Clerk/Authorized Personnel