Mechanical - 11-12-003 - 1047 N Lopez Ave - 12/01/2011City of Eagle
Zoning/Building Permit
Permit#: 11-12-003 Mechanical#: 0
Property Owner Gary Forsythe
Owner Address
Owner City State zip
Issue Date 12/1/2011
Foundation Only Issue Date
Builder Name Bork Roofing
Builder Address 624 N Glen Aspen
Builder City State Zip Star, ID 83669
Builder Telephone (208) 869-6674
Builder Registration # RCE-6110
Subdivision Melvin's Eagle Pointe #4
Lot 26 Block 4
Property Address 1047 N Lopez Ave
Type MISC
Deposit Receipt# 0
Issue Receipt# 11.003839 Foundation Only ReceiPt#
SqFtLiving
SqFtPorch
Eagle Water
Development
SqFtBmnt
0 Value Of Imprmnt
0 EM2 Fee 0
0 ACHD
Notes: Re -Roof 36 SQ's
Builders Signature
City Clerk/Authorized Personnel
0 SqFtGrg
$0.00
Eagle Sewer 0
0
r•mmnir
Fees:
Permit Fee
Plan Review
Grading Permit
Development
Special Fee
IECC Fee
ACHD Fee
Mechanical -Res
Mechanical-Com
EM2 Fee
$142.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Total Fees
Less Deposit
Less Foundation Only
Balance Due
$142.00
$0.00
$0.00
$142.00
0
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 permits and fees as required.
Thursday, December 01, 2011 Page 1 of 1