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Tenant Improvement - 08-11-020 - 164 E State St Ste #120 - 11/20/2008 City of Eagle Zoning/Building Permit Permit#: 08-11-020 Mechanical#: o Fees: Permit Fee $181.25 Plan Review $117.81 Grading Permit $0.00 Development $0.00 Special Fee $0.00 IECC Fee $0.00 ACHD Fee $0.00 Mechanical-Res $0.00 Mechanical-Com $0.00 EM2 Fee $0.00 --------------- Total Fees $299.06 Less Deposit $0.00 Less Foundation Only $0.00 Balance Due $299.06 Property Owner Owner Address Owner City State Zip Issue Date Old Town LLC 839 E Winding Creek Suite 201 Eagle, 10 83616 11/20/2008 Foundation Only Issue Date Builder Name Oldtown, LLC Builder Address 839 E Winding Creek Dr. #201 Builder City State Zip Eagle, 1083616 Builder Telephone (208) 631-7111 Builder Registration # EXEMPT Subdivision Lot Not Applicable Block Property Address Type TI Deposit Receipt# 164 EState St Suite# 120 o Issue Receipt# 11.000500 Foundation Only Receipt# SqFtUving 608 SqFtBmnt 0 SqFtGrg 0 SqFtPorch 0 Value Of Imprmnt $10,000.00 Eagle Water 0 EM2 Fee 0 Eagle Sewer 0 Development 0 ACHD ~ cA - <:078'1 'i' Notes: Ward Hooper Gallery City Clerk/Authorized Personnel Builders Signature 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. Thursday, November 20, 2008 Page 1 of 1 (( W /H '1'1<1