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Patio - 163183 - 5781 W Rotherham Dr - 08/15/2016n 0C CD t1i rL rD (D 00 oc lei cc C:l w Cm 0 W V CA To Lon CD U) 0 tT rD rD Q. ; CL L=lt oo W in P FA —j M -W f -D CD Y i8 UP) MUAMD =!lwo Permit #: 163183 Property Owner PRESERVE LLC Owner Address 5781 W ROTHERHAM DR Owner City State Zip Issue Date 8/15/2016 Foundation Only Issue Date Builder Name Shade Works Builder Address 11760 W Executive Drive Builder City State Zip Boise ID 83713 Builder Telephone 208-995-2990 Builder Registration # RCE -20171 Subdivision PRESERVE SUB NO 01 Lot 22 Block I Property Address 5781 W ROTHERHAM DR Type Deposit Receipt '€ 15.004886 Issue Receipt # 15.004950 Sq Ft Living 0 Sq Ft Brnnt 0 Sq Ft Gr g 0 Sq Ft Porch 110 Value of Improvement $2200 Eagle Water EM2 Fee Eagle Sewer Development ACHD Notes: Engineered Patio Cover Contractor's Printed Name Contractor"s Signature City Clerk/Authorized Personnel Fees: Permit Fee $47.27 Residential Plan Review Deposit $50.00 Pucci Review Fee -Residential $50.00 Total Fees $147.27 Less Deposit $ Less Foundation Only $ Balance Due $0.00 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.