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Tenant Improvement - 04-11-017 - 90 W Cottonwood Ct Ste 120 - 11/10/2004 City of Eagle Zoning/Building Permit Permit#: 04-11-017 Mechanical#: M-2933 Fees: Permit Fee $1,151.00 Plan Review $748.00 Development $0.00 Special Fee $0.00 IECC Fee $100.00 ACHD Fee $0.00 Mechanical-Res $0.00 Mechanical-Com $264.12 EM2 Fee $0.00 Property Owner Asson Enterprises Owner Address 2445 River Road Owner City state Zip Heyburn, ID 83336 Issue Date 11110/2004 Foundation Only Issue Date Builder Name R A Schultz & Co Inc Builder Address 3020 Fairview Avenue Builder City state Zip Boise, ID 83702 Builder Telephone (208) 343-7070 Subdivision Fresh Creek Block 1 Lot 6 Property Address 90 W Cottonwood Ct Ste 120 Total Fees Less Deposit Less Foundation Only Balance Due $2,263.12 $100.00 $0.00 $2,163.12 Type TI Deposit Receipt# 4.000119 Foundation Only Receipt# Issue Receipt# 4.000213 SqFtLiving 2616 SqFtBmnt 0 SqFtGrg SqFtPorch 0 Value Oflmprmnt $178,149.00 Eagle Water 0 EM2 Water 0 Eagle Sewer 0 Development 0 ACHD 0 Notes: Discovery Dental Tenant Improvements o 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, November 10, 2004 Page 1 of 1