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Single Family - 04-06-019 - 209 W Cottonwood Court - 06/09/2004 City of Eagle Zoning/Building Permit Permif#: 04-06-019 Mechanica/#: M-2595 Fees: Permit Fee $1,542.00 Plan Review $462.00 Development $432.62 Special Fee $0.00 IECC Fee $50.00 ACHD Fee $0.00 Mechanical-Res $162.00 Mechanical-Com $0.00 EM2 Fee $0.00 -------------- Total Fees $2,648.62 Less Deposit $80.00 Less Foundation Only $0.00 Balance Due $2,568.62 Property Owner Owner Address Adria Custom Homes PO Box 190105 Owner City State Zip Boise, 10 83719 Issue Date 619/2004 Foundation Only Issue Date Builder Name Adria Custom Homes Builder Address PO Box 190105 Builder City State Zip Boise, 10 83719 Builder Telephone (208) 867-2471 Subdivision Fresh Creek Block 1 Lot 21 Property Address 209 W Cottonwood Court Type NH Deposit Receipt# 4.000016 Foundation Only Receipt# Issue Receipt# R2.000166 SqFtLiving 3161 SqFtBmnt 0 SqFtGrg 850 SqFtPorch 200 Value Of Imprmnt $264,939.00 Eagle Water 0 EM2 Water 0 Eagle Sewer 040609001 Development 02041-04 ACHD A04-001207 Notes: 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. June 09, 2004 Page 1 of 1