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Single Family - 04-12-013 - 2158 S Chipper Way - 12/13/2004 City of Eagle Zoning/Building Permit Permit#: 04-12-013 Mechanical#: M-2993 Fees: Permit Fee $1,802.00 Plan Review $541.00 Development $432.62 Special Fee $0.00 IECC Fee $50.00 ACHD Fee $0.00 Mechanical-Res $175.00 Mechanical-Com $0.00 EM2 Fee $0.00 Property Owner Patriot Properties LLC Owner Address 3210 E Chinden Blvd Ste 115 # 116 Owner City State Zip Eagle, 1083616 Issue Date 12/13/2004 Foundation Only Issue Date Builder Name Patriot Properties LLC Builder Address 3210 E Chinden Blvd Ste 115 #116 Builder City State Zip Eagle, 10 83616 Builder Telephone (208) 870-1630 Subdivision Banbury Meadows #5 Block 29 Lot 21 Property Address 2158 S Chipper Way Total Fees Less Deposit Less Foundation Only $3,000.62 $80.00 $0.00 $2,920.62 Type NH Deposit Receipt# 4.000250 Foundation Only Receipt# Issue Receipt# 2.000622 SqFtLiving 3235 SqFtBmnt 0 SqFtGrg 806 SqFtPorch 384 Value Oflmprmnt $322,616.00 Eagle Water 0 EM2 Water 0 Eagle Sewer 041213004 Development 02321-04 ACHD 11.05-002334 Notes: Balance Due 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. Monday, December 13, 2004 Page 1 of 1