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Building - 11-09-031 - 408 S Eagle Rd Ste 209 - 09/26/2011City of Eagle Zoning/Building Permit Permit#: 11-09-031 Mechanical#: M-6038 Property Owner Forum One, LLC c/o Select Commercial Owner Address 168 N 9th St Owner City State Zip Boise, ID 83702 Issue Date 9/26/2011 Foundation Only Issue Date Builder Name Builder Address Builder City State Zip Builder Telephone Builder Registration # Holt & Company, Inc PO Box 2133 Ketchum, ID 83340 (208) 481-2427 RCE-13059 Subdivision Forum Lot 1 Block 1 Property Address 408 S Eagle Rd Ste 209 Type TI Deposit Receipt# na Issue Receipt# 11.003577 Foundation Only Receipt# SqFtLiving SqFtPorch Eagle Water Development SqFtBmnt 0 SqFtGrg 0 Value Of Imprmnt $3,000.00 na EM2 Fee 0 Eagle Sewer na 0 ACHD 0 Notes: TI: Indepenant Living Bullion (removing 2 walls and moving 2 doors) Builders Signature City ClerklAuthorized Personnel Fees: Permit Fee Plan Review Grading Permit Development Special Fee IECC Fee ACHD Fee Mechanical -Res Mechanical-Com EM2 Fee $83.25 $54.11 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Fees $137.36 Less Deposit $0.00 Less Foundation Only $0.00 Balance Due $137.36 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. Monday, September 26, 2011 Page 1 of 1 eLea w Q.. m C) d 0 0. 0 OticE8 rube z 0 inn 0 0 0 0 = N 0 0 A O w a w 9 8 0 w A 18416N89L uois!nip 0 2 3 4 3 0 3 a� n 4:. .-1. c,iO M no -I sD p LTI" 'ci SC:1) 0 .9:11 E. a X M 0 0 O Zsal c: .a`'.p i 30Q 0! ma. -� o l'I'I �p ,... 0 _. a 0 0 N 0