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Tenant Improvement - 05-03-074 - 1045 S Ancona Ave Ste 140 - 03/28/2005 City of Eagle Zoning/Building Permit Permit#: 05-03-074 Mechanical#: M-3213 Fees: Permit Fee $1,081.00 Plan Review $703.00 Development $0.00 Special Fee $0.00 IECC Fee $100.00 ACHD Fee $0.00 Mechanical-Res $0.00 Mechanical-Com $272.40 EM2 Fee $0.00 Property Owner Robnett Construction Inc Owner Address 172 S Academy Avenue # 170 Owner City State Zip Eagle, ID 83616 Issue Date 3/28/2005 Foundation Only Issue Date Builder Name Robnett Construction Inc Builder Address 172 S Academy Ave #170 Builder City State Zip Eagle, 10 83616 Builder Telephone (208) 938-6037 Subdivision Ancona Park Block 1 Property Address Lot 1 1045 S Ancona Ave Ste 140 Total Fees Less Deposit Less Foundation Only $2,156.40 $100.00 $0.00 $2,056.40 Type TI Deposit Receipt# 4.000474 Foundation Only Receipt# Issue Receipt# 4.000528 SqFtLiving 5921 SqFtBmnt 0 SqFtGrg 0 SqFtPorch 0 Value Oflmprmnt $150,985.00 Eagle Water 0 EM2 Water 0 Eagle Sewer 0 Development 0 ACHD prepaid Notes: Robnett Construction Inc Tenant Improvements Balance Due Builders Signature 3~ 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. Monday, March 28, 2005 Page 1 of 1