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Single Family - 05-06-114 - 1010 W Goose lake Court - 06/30/2005 City of Eagle Zoning/Building Permit Permit#: 05-06-114 Mechanical#: M-3461 Fees: Permit Fee $2,415.00 Plan Review $845.00 Development $1,511.43 Special Fee $0.00 IECC Fee $50.00 ACHD Fee $0.00 Mechanical-Res $247.00 Mechanical-Com $0.00 EM2 Fee $0.00 -------------- Total Fees $5,068.43 Less Deposit $80.00 Less Foundation Only $0.00 Balance Due $4,988.43 Property Owner Burt Smith Custom Homes Owner Address 3877 N BunchBerry Way Owner City State Zip Boise, 10 83704 Issue Date 6/30/2005 Foundation Only Issue Date Builder Name Burt Smith Custom Homes Builder Address 3877 N BunchBerry Way Builder City State Zip Boise, 10 83704 Builder Telephone (208) 376-2589 Subdivision Two Rivers #9 Block 31 Lot 14 Property Address 1010 W Goose lake Court Type NH Deposit Receipt# 2.001381 Foundation Only Receipt# Issue Receipt# 2.001461 SqFtLiving 4380 SqFtBmnt 0 SqFtGrg 817 SqFtPorch 206 Value Of Imprmnt $433,823.00 Eagle Water 0 EM2 Water 0 Eagle Sewer 050629001 Development 02655-05 ACHD E05-002242 Notes: City Clerk/Authorized Personnel Builders Signature --- ~ - - - ~l;:(';", ,';~I ":!l"fC:;;-:;:-":' ~l,Yi' I-l'.!'lm;'lli[!i ,~\;r;rrTf1~ ~)f)l!' nT:.r~lT"ij'D:' ':,~c~)r : .\t\f-~!r:J-:{li)\'f:)~ ':)l":~:.1\ 1~;I:-[-.;q~tf.(Fr If :'J,q:" ~)..;r'''),:~\;\.'', c-';~.} ~) ~-;-:l!H: In:)Il;:lr..:'qroH ~ i~l: :".{c~;) ~).;~)-~~~~)~'" 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. Thursday, June 30, 2005 Page 1 of 1