Building - 10-12-064 - 3210 E Chinden Blvd - 12/22/2010Fm:Sue A. Cook Design To:state farm permit (12089383854)
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CityofEagle
Zoning/Budding Permit
Permit#: 10-12-064 Mechanical#:
Property Owner State Farm Insurance
Owner Address 3210 E. Chinden Blvd, Suite 1 D8
Owner City State Zip Eagle, Idaho 83616
Issue Date 12/22/2010
Foundation Only Issue Date
Builder Name Sue Cook
Builder Address 307 E 37th
Builder City State Zip Garden City, ID 83714
Builder Telephone (208) 3445809
Builder Registration # N I A
Subdivision Eagle Country Market
Lot Block
Property Address 3210 E Chlnden Blvd
Type SIGN
Deposit Receipt# 5.001574
Issue Receipt# 5.001574 Foundation Only Receipt#
SgFtLiving
SgFtPorch
Eagle Water
Development
SgFtBmnt 0 SqFtGrg
0 Value Of lmprmmnt $0.00
EM2 Fee 0 Eagle Sewer
0 ACHD
Notes: Building Wag sign for State Farm Insurance
Builders Signature
City Clerk/Authorized Personnel
0
Fees:
Permit Fee
Plan Review
Grading Permit
Development
Special Fee
IECC Fee
ACHD Fee
Mechanical -Res
Mechanical-Com
EM2 Fee
$50.00
$0.00
$0.00
;0.00
$0.00
$0.00
;0.00
$0.00
60.00
;0.00
Total Fees
Less Deposit
Less Foundation Only
Balance Due
$50.00
550.00
$0.00
50.00
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 perm and fees as required.
Wednesday, December 22, 2010 Page 1 of 1