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Pool - 06-08-040 - 1769 W Clearvue St - 09/14/2006 City of Eagle Zoning/Building Permit Permit#: 06-08-040 Mechanical#: M-4215 Fees: Permit Fee $578.00 Plan Review $202.00 Development $0.00 Special Fee $0.00 IECC Fee $50.00 ACHD Fee $0.00 Mechanical-Res $48.00 Mechanical-Com $0.00 EM2 Fee $0.00 Property Owner Owner Address Rita Cousins 1934 Southcreek Blvd Owner City State Zip Port Orange, FL 32128 Issue Date 9/14/2006 Foundation Only Issue Date Builder Name Gem Gunite Pools Builder Address 623 S 3rd Street Builder City State Zip Nampa, 10 83651 Builder Telephone (208) 467-9576 Builder Registration # RCE-377 Subdivision Carlene Estates Block 7 Lot 7 Property Address 1769 W Clearvue Street Type PL Deposit Receipt# 0 Issue Receipt# 6.000813 Foundation Only Receipt# Total Fees Less Deposit Less Foundation Only $878.00 $0.00 $0.00 $878.00 Balance Due SqFtLiving 0 SqFtBmnt 0 SqFtGrg 0 SqFtPorch 0 Value Of Imprmnt $54,805.00 Eagle Water 0 EM2 Water 0 Eagle Sewer 0 Development 0 ACHD 0 Notes: 18 x 36 swimming pool. Accessory Use Authorization # 17387 City Clerk/Authorized Personnel (}~JT.\ A ' t '~~l~ 3~Qj-~J Builders Signature Said structure andlor use to conform to specifications and plans s'ubmitted and must be in full compliance with ordinances of the City of Eagle subject to inspection permits and fees as required. Thursday, September 14, 2006 Page 1 of 1