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Void - 04-03-010 - N/A - 12/30/2004 City of Eagle Zoning/Building Permit I Permit#: 04-03-010 Mechanica/#: o Fees: Permit Fee $0.00 Plan Review $100.00 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 $100.00 Less Deposit $100.00 Less Foundation Only $0.00 Balance Due $0.00 Property Owner Owner Address Chris & Joann Kerstein 2152 S Artesian Road Owner City State Zip Eagle, ID 83616 Issue Date 12/30/2004 Foundation Only Issue Date Builder Name Dave Evans Construction Builder Address 5561 N Glenwood St., Suite A Builder City state Zip Boise, ID 83714 Builder Telephone (208) 853-1203 Subdivision Not Applicable Block Lot Property Address N/A Type MISC Deposit Receipt# 2115 Foundation Only Receipt# Issue Receipt# 2115 SqFtLiving SqFtBmnt SqFtGrg SqFtPorch Value Of Imprmnt $0.00 Eagle Water 0 EM2 Water 0 Eagle Sewer 0 Development 0 ACHD 0 Notes: 445 S Fitness-TI Suite 100. DEPOSIT ONLY - permit never picked up. Plans destroyed 12/30/04 Builders Signature Cf'A[,ItJ~ - ... ... City Clerk/Authorized Personnel 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, December 30, 2004 Page 1 of 1