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Tenant Improvement - 04-03-045 - 172 W State St Ste E - 06/30/2004 City of Eagle Zoning/Building Permit Permit#: 04-03-045 Mechanica/#: M-2442 Fees: Permit Fee $207.00 Plan Review $135.00 Development $0.00 Special Fee $0.00 IECC Fee $0.00 ACHD Fee $0.00 Mechanical-Res $0.00 Mechanical-Com $67.00 EM2 Fee $0.00 -------------- Total Fees $409.00 Less Deposit $100.00 Less Foundation Only $0.00 Balance Due $309.00 Property Owner Robert DeShazo Jr Owner Address 172 W State Street, Suite D Owner City State Zip Eagle, ID 83616 Issue Date 6/3012004 Foundation Only Issue Date Builder Name Eagle Water Company Builder Address 172 W State Street, Suite D Builder City State Zip Eagle, ID 83616 Builder Telephone (208) 939-0242 Subdivision Jackson Park Block 2 Property Address Lot 5/6 172 W State St., Ste E Type TI Deposit Receipt# 2418 Foundation Only Receipt# Issue Receipt# 1.000287 SqFtLiving n2 SqFtBmnt 0 SqFtGrg 0 SqFtPorch 0 Value Oflmprmnt $14,621.00 Eagle Water 0 EM2 Water 0 Eagle Sewer 0 Development 0 ACHD Notes: The "Toech" Tenant Improvements Builders Signature City Clerk/Authorized Personnel 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. June 30, 2004 Page 1 of 1