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Single Family - 05-05-059 - 668 N Shadowfox Place - 05/23/2005 City of Eagle Zoning/Building Permit Permit#: 05-05-059 Mechanical#: M-3339 Fees: Permit Fee $1,398.00 Plan Review $489.00 Development $1,511.43 Special Fee $0.00 IECC Fee $50.00 ACHD Fee $0.00 Mechanical-Res $146.00 Mechanical-Com $0.00 EM2 Fee $0.00 Property Owner Owner Address Chuck Black Construction Inc 3100 Kootenai Street Owner City State Zip Boise, 10 83705 Issue Date 5/23/2005 Foundation Only Issue Date Builder Name Chuck Black Construction Inc Builder Address 3100 Kootenai Street Builder City State Zip Boise, 10 83705 Builder Telephone (208) 336-0920 Subdivision Shadow ridge Block 3 Lot 8 Property Address 668 N Shadowfox Place -------------- Type NH Deposit Receipt# 1.001829 Foundation Only Receipt# Issue Receipt# 4.000676 SqFtLiving 2059 SqFtBmnt 0 SqFtGrg 738 SqFtPorch 344 Value Of Imprmnt $218,240.00 Eagle Water 2451 R EM2 Water 0 Eagle Sewer 050523001 Development 02567-05 ACHD E05-002157 Notes: Total Fees Less Deposit Less Foundation Only Balance Due $3,594.43 $80.00 $0.00 $3,514.43 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. Monday, May 23, 2005 Page 1 of 1