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Single Family - 04-03-005 - 313 N Lost Canyon Way - 03/03/2004 City of Eagle Zoning/Building Permit Permit#: 04-03-005 Mechanica/#: M-2407 Fees: Permit Fee $1,758.00 Plan Review $527.00 Development $432.62 Special Fee $0.00 IECC Fee $50.00 ACHD Fee $0.00 Mechanical-Res $170.00 Mechanical-Com $0.00 EM2 Fee $0.00 Property Owner Owner Address Robert Bland 1500 W Powder Court Owner City State Zip Eagle, 10 83616 Issue Date 3/312004 Foundation Only Issue Date Builder Name Accent Custom Homes Builder Address 1500 W Powder Court Builder City State Zip Eagle, 10 83616 Builder Telephone (208) 938-0934 Subdivision Countryside Estates #1 Block 3 Lot 41 Property Address 313 N Lost Canyon Way Total Fees Less Deposit Less Foundation Only $2,937.62 $80.00 $0.00 $2,857.62 Type NH Deposit Receipt# 2279 Foundation Only Receipt# Issue Receipt# 2443 SqFtLiving 3161 SqFtBmnt 0 SqFtGrg 850 SqFtPorch 36 Value Oflmprmnt $313,116.00 Eagle Water EM2 Water 0 Eagle Sewer 040303003 Development 01911-04 ACHD A04-00629 Notes: Balance Due City Clerk/Authorized Personnel Builders Signature Said structure and/or use to conform to specifications and plans submitted and must be in full compliance with ordinances of the City of Eagle subject to Inspection permits and fees as required. Wednesday, March 03, 2004 Page 1 of 1