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Other - 04-10-074 - 597 Watercress lane - 10/27/2004 City of Eagle Zoning/Building Permit { Permit#: 04-10-074 Mechanica/#: o Fees: Permit Fee $50.00 Plan Review $0.00 Development $0.00 Special Fee $0.00 IECC Fee $0.00 ACHD Fee $0.00 Mechanical-Res $0.00 Mechanical-Com $0.00 EM2 Fee $0.00 -------------- Total Fees $50.00 Less Deposit $0.00 Less Foundation Only $0.00 Balance Due $50.00 Property Owner Sylvia Levi Owner Address 597 Watercress Lane Owner City state Zip Eagle, ID 83616 Issue Date 10/27/2004 Foundation Only Issue Date Builder Name Gem State Mobile Home Transfer Builder Address 18205 S Cloverdale Rd Builder City State Zip Kuna, ID 83634 Builder Telephone (208) 362-9047 Subdivision Eagle Meadows Mobil Home Park Block Lot Property Address 597 Watercress lane Type MH Deposit Receipt# 0 Foundation Only Receipt# Issue Receipt# 4.000176 SqFtLiving SqFtBmnt 0 SqFtGrg 0 SqFtPorch 0 Value Of Imprmnt $0.00 Eagle Water 0 EM2 Water 0 Eagle Sewer 0 Development 0 ACHD 0 Notes: City Clerk/Authorized Personnel Builders Signature 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, October 27, 2004 Page 1 of 1