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Tenant Improvement - 04-10-089 - 172 W State St Ste B - 11/02/2004 City of Eagle Zoning/Building Permit Permit#: 04-10-089 Mechanica/#: M-2917 Fees: Permit Fee $73.00 Plan Review $47.00 Development $0.00 Special Fee $0.00 IECC Fee $100.00 ACHD Fee $0.00 Mechanical-Res $0.00 Mechanical-Com $67.00 EM2 Fee $0.00 Property Owner Eagle Water Company Owner Address 172 W State Street, Suite 0 Owner City state Zip Eagle, 10 83616 Issue Date 11/2/2004 Foundation Only Issue Date Builder Name Eagle Water Company Builder Address 172 W State Street, Suite 0 Builder City state Zip Eagle, 10 83616 Builder Telephone (208) 939-0242 Subdivision Jackson Park -------------- Block 2 Property Address Lot 5/6 172 W State St. Ste B Total Fees Less Deposit Less Foundation Only Balance Due $287.00 $200.00 $0.00 $87.00 Type TI Deposit Receipf# 4.000149 Foundation Only Receipf# Issue Receipf# 4.000188 SqFtLiving 1632 SqFtBmnt 0 SqFtGrg 0 SqFtPorch 0 Value Oflmprmnt $26,316.00 Eagle Water 0 EM2 Water 0 Eagle Sewer 0 Development 0 ACHD 0 Notes: Todd Stewart Salon # 2 Tenant Improvements Builders Signature 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. Tuesday, November 02, 2004 Page 1 of 1