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Tenant Improvement - 04-04-039 - 3210 E Chinden Blvd Ste # 103 - 04/14/2004 City of Eagle Zoning/Building Permit Permit#: 04-04-039 Mechanica/#: o Fees: Permit Fee $383.00 Plan Review $249.00 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 $632.00 Less Deposit $100.00 Less Foundation Only $0.00 Balance Due $532.00 Property Owner Owner Address Steve Bender PO Box 170073 Owner City State Zip Boise, 10 83717 Issue Date 411412004 Foundation Only Issue Date Builder Name Keilty Construction Inc Builder Address 4678 N Marylebone Place Builder City State Zip Boise, 10 83713 Builder Telephone (208) 378-1168 Subdivision Eagle Country Market Block Lot Property Address 3210 E Chinden Blvd Ste # 103 Type TI Deposit Receipt# 1147 Foundation Only Receipt# Issue Receipt# 2732 SqFtLiving 1400 SqFtBmnt 0 SqFtGrg 0 SqFtPorch 0 Value Of Imprmnt $32,900.00 Eagle Water 0 EM2 Water 0 Eagle Sewer 0 Development 0 ACHD 0 Notes: Fantastic Sams Remodel 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. Wednesday, April 14, 2004 Page 1 of 1 '- ~ UJ G ~ I,' 9 v