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Electrical - 221565 - 2569 N Black Forest Way - 04/21/2022 City of Eagle Electrical Permit 660 E. Civic Lane, Eagle, ID 83616 Inspection Line: (208) 939-4462 Permit Number 221565 Issue Date 04/21/2022 Issue Receipt Caleb Larson ELECTRICIAN Northern Lights Electric 5923 S Ashcroft Way Meridian,ID 83642 208-871-1997 Registration#: 025757 ' : 1/ Property Owner: ALTURAS CONSTRUCTION LLC Subdivision: LANEWOOD SUB NO 08 Lot 15 Block 16 Address 2569 N BLACK FOREST WAY RESIDENTIAL PERMIT FEES Electrical-New Home $260.00 Total Fee: $260.00 Job Scope/Notes *Inspection Phone: 939-4462 Contractor's Printed Name Emailed Contractor's Signature City Clerk/Authorized Personnel