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Single Family - 04-11-048 - 210 N Lost Canyon Place - 11/18/2004 City of Eagle Zoning/Building Permit Permit#: 04-11-048 Mechanical#: M-2959 Fees: Permit Fee $2,044.00 Plan Review $638.00 Development $432.62 Special Fee $0.00 IECC Fee $50.00 ACHD Fee $0.00 Mechanical-Res $211.00 Mechanical-Com $0.00 EM2 Fee $0.00 Property Owner The Home Group Inc Owner Address 2268 W Champagne Court Owner City State Zip Eagle, 10 83616 Issue Date 11/18/2004 Foundation Only Issue Date Builder Name The Home Group Inc Builder Address 2268 W Champagne Court Builder City State Zip Eagle, 10 83616 Builder Telephone (208) 938-3347 Subdivision Countryside Estates #3 Block 9 Lot 21 Property Address 210 N Lost Canyon Place -------------- Type NH Deposit Receipt# 1.000897 Foundation Only Receipt# Issue Receipt# 1.000970 SqFtLiving 4058 SqFtBmnt 0 SqFtGrg 1174 SqFtPorch 664 Value Of Imprmnt $410,605.00 Eagle Water 0 EM2 Water 0 Eagle Sewer 04118003 Development 02295-04 ACHD A.05-002190 Notes: Add'l PR fee for 3rd set - $25 Total Fees Less Deposit Less Foundation Only Balance Due $3,375.62 $80.00 $0.00 $3,295.62 City Clerk/Authorized Personnel Builders Signature R@i'il:;~ J2~rl@t8 f'fot11tJ'l;ld?l Isr'JJ iJI'l! j,'I:t:r;; J1ID'~' r:!,~ iir~ i@U, ' '~lJfl\'1~ '.'?nt?l; @';'O:~~-)}'')d' ',\t:j,;. I f'iT, . [<. l,g'l;);:J<J:O:cilO" ~1~"~r:~r:0t" '''(fin:1![')l"L~li!-' i'.zij;} ~~YY-H,~ Said structure andlor 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. Thursday, November 18, 2004 Page 1 of 1