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Void - 04-12-054 - N/A - 12/27/2004 City of Eagle Zoning/Building Permit [ Permit#: 04-12-054 Mechanica/#: o Fees: Permit Fee $0.00 Plan Review $80.00 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 Property Owner Rick & Lea Conrad Owner Address 872 W Bogus View Drive Owner City State Zip Eagle, ID 83616 Issue Date 12/27/2004 Foundation Only Issue Date Builder Name Thomas & Dunn Development Builder Address 204 W Oakhampton Drive Builder City State Zip Eagle, ID 83616 Builder Telephone (208) 371-6936 Subdivision Not Applicable Block Lot Property Address N/A -------------- Type MISC Deposit Receipt# 1.000246 Foundation Only Receipt# Total Fees Less Deposit Less Foundation Only Balance Due $80.00 $80.00 $0.00 $0.00 Issue Receipt# 1.000246 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: Deposit Only - Rescheck never received to complete permit. Plans destroyed 12/27/04 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. Monday, December 27, 2004 Page 1 of 1