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Tenant Improvement - 06-09-007 - 923 S Bridgeway Pl Ste 150 - 09/06/2006 City of Eagle Zoning/Building Permit Permit#: 06-09-007 Mechanica/#: M-4235 Fees: Permit Fee $996.00 Plan Review $647.00 Development $0.00 Special Fee $0.00 IECC Fee $100.00 ACHD Fee $0.00 Mechanical-Res $0.00 Mechanical-Com $862.35 EM2 Fee $0.00 Property Owner Owner Address Owner City State Zip Issue Date Maracabio Properties LLC 923 S Bridgeway Place Ste 100 Eagle, 1083616 9/6/2006 Foundation Only Issue Date Builder Name Maracaibo Properties LLC Builder Address 923 S Bridgeway PI Ste 100 Builder City State Zip Eagle, 10 83616 Builder Telephone (208) 955-1618 Builder Registration # EXEMPT Subdivision Mixed Use Sub No.5 -------------- Block 4 Lot 22 Property Address 923 S Bridgeway PI Ste ~ 1$'0 Type TI Deposit Receipt# Total Fees Less Deposit Less Foundation Only Balance Due $2,605.35 $100.00 $0.00 $2,505.35 Issue Receipt# 6.000748 4.001392 Foundation Only Receipt# SqFtLiving 3770 SqFtBmnt 0 SqFtGrg 0 SqFtPorch 0 Value Of Imprmnt $133,835.00 Eagle Water 0 EM2 Water 0 Eagle Sewer 0 Development 0 ACHD 0 Notes: Clearly Lasik Eye Surgery Center Tenant Improvements Builders Signature City Clerk/Authorized Personnel 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. Wednesday, September 06, 2006 Page 1 of 1 (") in "T\ "T\ C -t :to OJ -I CD '< 9 .. 0 VI 'tl 'tl C ':::J' (") III "2- (") 3 sa. eE' CD is: (ii' c S' :l 0 r;' 5' c :l ... III III III tc tc 0 (") 0" N tc () .... CD .... C VI (") 0 CD N "tl 0 CD C (") III III '< C ::I CD CD 3 .... VI VI .. .... CD 'tl Q. CD .... .... 3: 3 3 CD III .. ;::;: 3 ::I C C o' 3: ;::;: ell .... (") , .., .. 0' .... C ::I >< ::I n CD o' OJ :to 0 CD c Di' .c III ::I ... Q. 3 c Q. (") C 0" () =i' 0 OJ VI CD ;::;: CJl .... CD 0' .. .... N Q. Q. CD '< s::: - .... CD (") C/l as: N - ..... ~ - N C N 0 iO 0" m=lt 0 0 - z 0 0 ...... N en III .... ...... 0 ? , (CC1I 0 .j>. 0 (0 en en to ~o , N 0 - ':::J' 0 -Ill W ...... g.en ':::J'tr o ell III ell ::l ::l C. -. ::l -. en en"C ell a. n .... cc ell C. CD 0- ~ .., n Q) 0 '< 3 "C () Di' ell ::l ~n (") _, ell 0 ~~ ::I Q. III ;::;: ;::;: It':::J' ~ 0' 0 .... CJ1 ::I ':::J' VI ....eIl 0 o- n III r 0" n ~ r c s::: en .... (") is: "C III N CD III ::l 0 ::l :1 .... C. N n 0 ':c: 0 .., C. ::l III ::l n ell en 0 .... .... ':::J' ell