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Tenant Improvement - 06-05-016 - 250 W Eagle Rd - 05/09/2006 City of Eagle Zoning/Building Permit Permit#: 06-05-016 Mechanica/#: M-4074 Fees: Permit Fee $1,346.00 Plan Review $874.00 Development $0.00 Special Fee $0.00 IECC Fee $0.00 ACHD Fee $0.00 Mechanical-Res $0.00 Mechanical-Com $133.09 EM2 Fee $0.00 -------------- Total Fees $2,353.09 Less Deposit $100.00 Less Foundation Only $0.00 Balance Due $2,253.09 Property Owner Owner Address Albertsons Inc 250 Parkcenter Blvd Owner City State Zip Boise, ID 83726 Issue Date 5/9/2006 Foundation Only Issue Date Builder Name Bush Decor & Construction Builder Address 4431 W 8200 S Builder City State Zip West Jordan, UT 84088 Builder Telephone (801) 280-0424 Builder Registration # RCE-12974 Subdivision Not Applicable Block Lot Property Address Type TI Deposit Receipt# Issue Receipt# 250 S Eagle Road 4.001170 4.001240 Foundation Only Receipt# SqFtLiving 6056 SqFtBmnt 0 SqFtGrg 0 SqFtPorch 0 Value Of Imprmnt $207,659.00 Eagle Water 0 EM2 Water 0 Eagle Sewer 0 Development 0 ACHD 0 Notes: Pharmacy Remodel City Clerk/Authorized Personnel Builders Signature Said structure and/or 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, May 09, 2006 Page 1 of 1