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Single Family - 04-11-062 - 871 N Grey Pebble Way - 12/08/2004 City of Eagle Zoning/Building Permit Permit#: 04-11-062 Mechanical#: M-2971 Property Owner Mellen Construction Inc Owner Address 6771 N Bogart Lane Owner City State Zip Boise, 10 83714 Issue Date 12/8/2004 Foundation Only Issue Date Builder Name Mellen Construction Incorporated Builder Address 6771 N Bogart Lane Builder City State Zip Boise, 10 83703 Builder Telephone (208) 853-8477 Subdivision Clear Creek Crossing Block 3 Lot 20 Property Address 871 N Grey Pebble Way Type NH Deposit Receipt# 2.000581 Foundation Only Receipt# Issue Receipt# 1.001005 SqFtLiving 2800 SqFtBmnt 0 SqFtGrg 918 SqFtPorch 306 Value Of Imprmnt $284,307.00 Eagle Water 2282R EM2 Water 0 Eagle Sewer 041208001 Development 02304-04 ACHD 1l.05-002296 Notes: Fees: Permit Fee $1,628.00 Plan Review $488.00 Development $432.62 Special Fee $0.00 IECC Fee $50.00 ACHD Fee $0.00 Mechanical-Res $167.00 Mechanical-Com $0.00 EM2 Fee $0.00 Total Fees Less Deposit Less Foundation Only Balance Due $2,765.62 $80.00 $0.00 $2,685.62 Builders Signature City Clerk/Authorized Personnel ~'J:Cl~ 1;'\111 ~rliJ ~it;:~l ,;T, r.: f;1! 'm' i1lU! I ~:r'lY;1 d,rJ iTI'it!/ fill'!lc{;j' 1 [.J r[y {(j:fJi:, ,] '.\;.'tJO:(!)~Ir.')' ;'j 100l , 1~1'1m)tl!l q~, f'N:}, ,fr:,,.n:~; EJlt~/ .')I'''0J,~l!:''lJrJ~f\'1':<]'' 'Olin ,\'iJ,~I:*":F~~~:n'.) 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. Wednesday, December DB, 2004 Page 1 of 1