Tenant Improvement - 163021 - 408 S Eagle Rd Ste 205 - 08/09/2016+J k1111111 I/1r11 I.�. I.I��II ,11Hllu IN:Li IfL
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Permit #: 163021
Property Owner
Owner Address
Owner City State Zip
Issue Date
Foundation Only Issue
Builder Name
Builder Address
Builder City State Zip
Builder Telephone
Builder Registration #
Subdivision
Lot 1
Property Address
Type
Deposit Receipt #
Issue Receipt #
Sq Ft Living 0
Sq Ft Porch 0
Eagle Water
Development
Notes:
City of Eagle
Tenant Improvement Permit
EAGLE FORUM PHASE ONE LLC
8/9/2016
Date
Stack Construction LLC
P.O. Box 207
Eagle ID 83616
208-863-1395
RCE-40124
FORUM SUB
Block 1
408 S EAGLE RD
15.004748
15.004934
SgFtBmnt 0 SgFtGrg 0
Value of Improvement $3500
EM2 Fee Eagle Sewer
ACHD
Cut nonbearing wall to half wall, remove nonbearing
closet wall and switch door to bathroom from corridor to
inside suite. Work is Complete - Cascadia Healthcare
Contractor's Printed Name
Contractor's Signature
City Clerk/Authorized Personnel
Fees:
Permit Fee
TI Plan Review Deposit
$48.91
$100.00
Total Fees
Less Deposit
Less Foundation Only
Balance Due
$148.91
$
$0.00
tr l s t-10p
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.
City of Eagle
Electrical Permit
660 E. Civic Lane, Eagle, ID 83616
Inspection Line: (208) 939-4462
Permit Number 163282
Issue Date 8/11/2016 Issue Receipt 13.005540
ELECTRICIAN
Tri State Electrical Inc
7790 Mossy Cup
208-362-4636
Registration #: ELE-C-1176
PERMIT ADDRESS
Property Owner: EAGLE FORUM PHASE ONE LLC
Subdivision: FORUM SUB
Lot 1 Block 1
Address 408 S EAGLE RD
RESIDENTIAL PERMIT FEES
Other Installations-Commercial/Industrial $79.00
Total Fee: $79.00
Job Scope / Notes
re -pull data line to server, move receptacles, and demo and move switches.
* Inspection Phone: 939-4462
Contractor's Printed Name EMAILED
Contractor's Signature
City Clerk/Authorized Personnel
(4'V 711a04-17)-11