Other - 05-10-022 - 515 S Fitness Pl - 10/12/2005 10/12/2005 09:19 FAX 208 938 384, EAGLE P.N.Z.
RECEIVED & FILED
•
CITY OF EAGLE
City of Eagle OCT 1 2 2005
File:
Zoning/Building Permit Route to•
Permit#: 05-10-022 - Mechanicat#: Fees:
Property Owner Dyan Chacon Pennil Fee S50.00
Owner Address 5744 North Big Cedar Avenue Plan Review $0.00
Owner City State Zip Meridian, Idaho 83642 Development $0.00
Issue Date 10/12/2005 Special Fee S0.00
Foundation Only Issue Date IECC Fee $0.00
Builder Name Dave Evans ACHD Fee $0.00
Builder Address 620 S 1Sth Avenue ty► hanical-Res $0,00
Builder City State Zip Caldwell, 10 83605
MedtarlicaF•Cam $0.00
Builder Telephone 4208)454-8421
EM2 Fee $0.00
Subdivision Merrill Subdivision c4 _
Block 3 Lot 23 Total Fees $50.00
Property Address 515 S Fitness PI Less Deposit $50.00
Less Foundation Only $0.00
Type SIGN Balance Due $0.00
Deposit Receipt# 5.000519
Foundation Only Receipt#
Issue Receipt#
SgFfLiving 0 SgFtBrnnt 0 SqFtGrg 0
SgFtPorch 0 Value Of lmprmnt $0.00
Eagle Water EM2 Water 0 Eagle Sewer
Development 0 ACHD
Notes: Building Wall Sign for Pacific Marial Arts
Burs Signature
City CIerWAuthorized Personnel 1
'.._J
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_
Wednesday.October 12.200E Page 1 of 1