Water - 215311 - 1909 E Jade Creek Ln - 05/11/2022 City
of E
Water Permit
660 E. Civic Lane, Eagle, ID 83616
(208) 489-8777
Permit #: 215311 Fees:
Property Owner ROOSEVELT CORNER LLC 3/4 $1,050.00
Owner Address WCE-3/4 $400.00
Owner City State Zip Total Fees $1,450.00
Issue Date 05/11/2022 Less Deposit $
Builder Name Busalacchi Custom Homes LLC
Builder Address PO Box 140257 Balance Due $0.00
Builder City State Zip Garden City ID 83714
Builder Telephone 208-866-4053
Builder Registration# RCE-42807
Subdivision WILD ROSE SUB
Lot 04 Block 01
Property Address 1909 E JADE CREEK LN
Type
Deposit Receipt# 30.000414
Issue Receipt# 13.000419
Notes:
Contractor's Printed Name
Contractor's Signature
City Clerk/Authorized Personnel741
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