Electrical - 190641 - 4073 W Prickly Pear Dr - 02/06/2019Permit Number 190641
City of Eagle
Electrical Permit
660 E. Civic Lane, Eagle, ID 83616
Inspection Line: (208) 939-4462
Issue Date 2/6/2019 Issue Receipt 33088734
I ELECTRICIAN
H5 Electric
4641 W Quaker Ridge
Meridian, ID 83646
208-995-4926 Registration #: 002817
I
I PERMIT ADDRESS
roperty Owner: BENNETT KENDALL CENTER LLC
Subdivision: SENORA CREEK SUB NO 03
Lot 29 Block 10
ddress 4073 W PRICKLY PEAR DR
IRESIDENTIAL PERMIT FEES
Other Installations-Commercial/Industrial
1
$368.86
Total Fee: $368.86
Job Scope / Notes
See Attached Scope Work - Convert an existing SFD into an (8) Bed Assisted Living Home for Brightstar Assisted Living Facility
* Inspection Phone: 939-4462
Contractor's Printed Name
Contractor's Signature
City Clerk/Authorized Personnel