Water - 221504 - 2280 W Holly Mountain Dr - 04/18/2022 City
of E
Residential Permit
Permit #: 221504 Fees:
Property Owner SIEBERT CARL Transfer Fee $50.00
Owner Address 2280 W HOLLY MOUNTAIN DR Total Fees $50.00
Owner City State Zip EAGLE ID 83616-0000 Less Deposit $
Issue Date 04/18/2022 Less Foundation Only $
Foundation Only Issue Date Balance Due $0.00
Builder Name Homeowner/Carl Siebert
Builder Address 2280 W Holly Mountain Dr
Builder City State Zip Eagle ID 83616
Builder Telephone 732-439-2734
Builder Registration#
Subdivision COUNTRYSIDE ESTATES SUB NO 02
Lot 5 Block 1
Property Address 2280 W HOLLY MOUNTAIN DR
Type
Deposit Receipt#
Issue Receipt# 30.001006
[Living [Basement
Sq Ft Living Area Sq Ft Bmnt Square Sq Ft Grg 0
Square
Feet] Feet]
[Porch
Sq Ft Porch Square Value of Improvement $0
Feet]
Eagle Water EM2 Fee Eagle Sewer
Development [Eagle ACHD [ACHD Certificate#]
Development/Impact]
Notes: 1700 sqft addition and kitchen remodel.
Contractor's Printed Name Emailed
Contractor's Signature
7inguati
City Clerk/Authorized Personnel
Call The City of Eagle Inspection Line
(208)939-4462
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.