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Tenant Improvement - 05-05-040 - 1025 S Bridgeway Pl Ste 120 - 09/30/2005 City of Eagle Zoning/Building Permit I Permit#: 05-05-040 Mechanical#: o Fees: Permit Fee $0.00 Plan Review $100.00 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 $100.00 Less Deposit $100.00 Less Foundation Only $0.00 Balance Due $0.00 Property Owner Owner Address Johnson Bros Hospitality Group PO Box 6290 Owner City State Zip Boise, ID 83707 Issue Date 9/30/2005 Foundation Only Issue Date Builder Name Premier Constrcution Builder Address 12552 W Executive Drive, Suite B Builder City State Zip Boise, ID 83713 Builder Telephone (208) 376-2742 Subdivision Mixed Use Sub No.5 Block 4 Lot 25 Property Address 1025 S Bridgeway PI Ste 120 Type MISC Deposit Receipt# 4.000575 Foundation Only Receipt# Issue Receipt# 4.000575 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Water 0 EM2 Water 0 Eagle Sewer 0 Development 0 ACHD 0 Notes: Johnson Brothers Office Tenant Improvements - application withdrawn - space given to another tenant. 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. Friday, September 30, 2005 Page 1 of 1