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Tenant Improvement - 04-05-009 - 360 E. State St. - 05/04/2004 City of Eagle Zoning/Building Permit [ Permit#: 04-05-009 Mechanical#: M-2529 Fees: Permit Fee $0.00 Plan Review $0.00 Development $0.00 Special Fee $86.94 IECC Fee $0.00 ACHD Fee $0.00 Mechanical-Res $0.00 Mechanical-Com $110.94 EM2 Fee $0.00 -------------- Total Fees $197.88 Less Deposit $0.00 Less Foundation Only $0.00 Balance Due $197.88 Property Owner Eagle Rib Shack Owner Address 360 E. State St Owner City State Zip Eagle, 10 83616 Issue Date 5/412004 Foundation Only Issue Date Builder Name Air Care LLC Builder Address 1772 E State Street Builder City State Zip Eagle, 10 83616 Builder Telephone (208) 939-2566 Subdivision Carpenters Block Lot Property Address 360 E. State St. Type TI Deposit Receipt# Foundation Only Receipt# Issue Receipt# 4.000001 SqFtLiving SqFtBmnt 0 SqFtGrg 0 SqFtPorch 0 Value Of Imprmnt $0.00 Eagle Water EM2 Water 0 Eagle Sewer Development 0 ACHD Notes: double fee - started work w/o permit Builders Signature City Clerk/Authorized Personnel 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. Tuesday, May 04, 2004 Page 1 of 1