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Void - 04-02-003 - N/A - 12/31/2004 City of Eagle Zoning/Building Permit Permit#: 04-02-003 Mechanical#: o Fees: Permit Fee $0.00 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 Property Owner Owner Address Owner City State Zip Issue Date 12/31/2004 Foundation Only Issue Date Builder Name VOID Builder Address 310 E State Street Builder City State Zip Eagle, 10 83616 Builder Telephone (208) 939-6813 Builder Registration # N I A Subdivision Not Applicable Block Lot Property Address NIA Type MISC Deposit Receipt# 0 Issue Receipt# 0 Foundation Only Receipt# SqFtLiving SqFtBmnt 0 SqFtGrg SqFtPorch 0 Value Of Imprmnt $0.00 Eagle Water 0 EM2 Water 0 Eagle Sewer 0 Development 0 ACHD 0 Notes: Problems with program - permit number voided Total Fees Less Deposit Less Foundation Only $0.00 $0.00 $0.00 $0.00 Balance Due o 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. Thursday, December 29, 2005 Page 1 of 1