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Void - 04-12-045 - N/A - 05/20/2004 City of Eagle Zoning/Building Permit I Permit#: 04-12-045 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 Drs Miller & Courtial Owner Address 151 N Stiennan Way Owner City State Zip Eagle, ID 83616 Issue Date 12121/2004 Foundation Only Issue Date Builder Name Boss Construction Builder Address 11152 State St., Suite 102 Builder City State Zip Star, ID 83669 Builder Telephone (208) 859-4491 Subdivision Not Applicable Block Lot Property Address N/A Type MISC Deposit Receipt# 2792 Foundation Only Receipt# Issue Receipt# 2792 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: Tenant Improvement for 125 N Stiennan Way Suite B - Tenant changed mind eft 5/20/04. No new plans submitted. Deposit forfieted on commercial plans. Builders Signature City Clerk/Authorized Personnel Said structure and/or use to confonn to specifications and plans submitted and must be in full compliance with ordinances of the City of Eagle subject to inspection pennits and fees as required. Wednesday, December 22, 2004 Page 1 of 1