Mechanical - 11-11-060 - 1240 W Chinden Blvd - 11/23/2011City of Eagle
Zoning/Building Permit
Permit#: 11-11-060 Mechanical#:
Property Owner Fred Meyer Stores, Inc.
Owner Address 3800 SE 22nd Avenue
Owner City State Zip Portland, OR 97202
Issue Date 11/23/2011
Foundation Only Issue Date
Builder Name Fred Mey'er Stores, Inc.
Builder Address 3800 SE 22nd Avenue
Builder City State Zip Portland, OR 97202
Builder Telephone (503) 797-5617
Builder Registration # N / A
Subdivision
Lot
Lazy P
Block
Property Address 1240 W Chinden Blvd
Type SIGN
Deposit Receipt# 5.001710
Issue Receipt# 5.001710 Foundation Only Receipt#
SqFtLiving SoFtBmnt
SciFtPorch 0 Value Of ynprmnt
Eagle Water
Development
0 SciFtGrg
$0.00
EM2 Fee 0 Eagle Sewer
0 ACHD
0
Fees:
Permit Fee
Plan Review
Grading Permit
Development
Special Fee
IECC Fee
ACHD Fee
Mechanical -Res
Mechanical -Corn
EM2 Fee
$50.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
10.00
Total Fees 650.00
Less Deposit $50.00
Less Foundation Only $0.00
Balance Due
$0.00
Notes: Non Illuminated sIgnage on the Fred Meyer fuel canopy and fuel dispensers.
Builders Signature
City Clerk/Authortzed Personnel
',+1•TcTRYr.11
• Said structure andior use to conforrn 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, November 23, 2011 Page 1 of 1