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Commercial Remodel - 05-07-036 - 250 S Eagle Road - 09/12/2005 City of Eagle Zoning/Building Permit Permit#: 05-07-036 Mechanical#: M-3498 Fees: Permit Fee $548.00 Plan Review $356.00 Development $0.00 Special Fee $0.00 IECC Fee $0.00 ACHD Fee $0.00 Mechanical-Res $0.00 Mechanical-Com $334.50 EM2 Fee $0.00 Property Owner Albertsons Inc Owner Address 250 Park Center Blvd Owner City State Zip Boise, 10 83706 Issue Date 9/12/2005 Foundation Only Issue Date L; ; Builder Name Broken Arrow Communications Inc Builder Address 593 Sea Lion Place Ste 104 Builder City State Zip Carls bad, CA 92008 Builder Telephone (801) 330-6772 Subdivision Not Applicable Block Lot Property Address 250 S Eagle Road Type CR Total Fees Less Deposit Less Foundation Only Balance Due $1,238.50 $100.00 $0.00 $1,138.50 Deposit Receipt# 4.000723 Foundation Only Receipt# Issue Receipt# 4.000924 SqFtLiving 213 SqFtBmnt 0 SqFtGrg 0 SqFtPorch 0 Value Of Imprmnt $50,000.00 Eagle Water 0 EM2 Water 0 Eagle Sewer 0 Development 0 ACHD 0 Notes: Verizon Cellular Site within Albertson's 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, September 12, 2005 Page 1 of 1 City of Eagle Zoning/Building Permit Permit#: 05-07-036 Mechanical#: M-3498 Fees: Permit Fee $548.00 Plan Review $356.00 Development $0.00 Special Fee $0.00 IECC Fee $0.00 ACHD Fee $0.00 Mechanical-Res $0.00 Mechanical-Com $334.50 EM2 Fee $0.00 Property Owner Albertsons Inc Owner Address 250 Park Center Blvd Owner City State Zip Boise, 10 83706 Issue Date 9/12/2005 Foundation Only Issue Date L; ; Builder Name Broken Arrow Communications Inc Builder Address 593 Sea Lion Place Ste 104 Builder City State Zip Carls bad, CA 92008 Builder Telephone (801) 330-6772 Subdivision Not Applicable Block Lot Property Address 250 S Eagle Road Type CR Total Fees Less Deposit Less Foundation Only Balance Due $1,238.50 $100.00 $0.00 $1,138.50 Deposit Receipt# 4.000723 Foundation Only Receipt# Issue Receipt# 4.000924 SqFtLiving 213 SqFtBmnt 0 SqFtGrg 0 SqFtPorch 0 Value Of Imprmnt $50,000.00 Eagle Water 0 EM2 Water 0 Eagle Sewer 0 Development 0 ACHD 0 Notes: Verizon Cellular Site within Albertson's 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, September 12, 2005 Page 1 of 1