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Void - 04-01-045 - 3210 E Chinden Blvd Ste 100 - 01/31/2004 I C,ity of Eagle Zoning/Building Permit Permit#: 04-01-045 Mechanica/#: o Property Owner Owner Address Owner City State Zip Issue Date Antonio Roque 3210 E Chinden Blvd # 100 Eagle, ID 83616 1/31/2004 Foundation Only Issue Date Builder Name Antonio Roque Builder Address 3210 E Chinden Blvd Ste 100 Builder City State Zip Eagle, ID 83616 Builder Telephone (208) 938-6111 Builder Registration # N I A Subdivision Not Applicable Block Lot Property Address 3210 E Chinden Blvd Ste 100 Type MISC Deposit Receipt# 9082 Issue Receipt# 9082 Foundation Only Receipt# 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- Add'l info never received. Addition never done. Builders Signature Fees: Permit Fee $0.00 Plan Review $200.00 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 $200.00 Less Deposit $200.00 Less Foundation Only $0.00 Balance Due $0.00 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. Wednesday, December 28, 2005 Page 1 of 1