Patio - 170679 - 3635 W Gold Fork Dr - 03/03/2017City of Eagle
Patio Cover Permit
Permit #: 170679
Property Owner TSURUDA REVOCABLE TRUST
Owner Address 3635 W GOLD FORK DR
Owner City State Zip EAGLE ID 83616-0000
Issue Date 3/3/2017
Foundation Only Issue Date
Builder Name
Builder Address
Builder City State Zip
Builder Telephone
Builder Registration #
Subdivision
HENRYS FORK SUB NO 02
Lot 2 Block 5
Property Address 3635 W Gold Fork Dr
Type
Deposit Receipt # 15.006233
Issue Receipt # 13.006878
Sq Ft Living 0 Sq Ft Bmnt 0 Sq Ft Grg 0
Sq Ft Porch 162 Value of Improvement $3240
Eagle Water EM2 Fee Eagle Sewer
Development ACHD
Notes:
Amerimax aluminum pergola patio cover 162 Square
Feet
Contractor's Printed Name
Contractor's Signature
City Clerk/Authorized Personnel
(4/6-b
Fees:
Permit Fee
Residential Plan Review Deposit
P&Z Review Fee -Residential
$66.92
$50.00
$25.00
Total Fees
Less Deposit
Less Foundation Only
Balance Due
$141.92
$
$
$0.00
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.
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or- **Certificate of Completion
CITY OF EAGLE
3635 W Gold Fork Dr
This Patio Cover has been inspected for compliance with the laws and ordinances of the City of Eagle, Idaho and is
hereby issued a Certificate of Completion.
Building Permit Number 170679 Name and address of owner:
Subdivision HENRYS FORK SUB NO 02 TSURUDA REVOCABLE TRUST
•
Lot 2
Applicable edition of Code 2012
Use Zone
Occupancy
Type of Construction
Design occupant load
Block 5
R-2-DA
U
V-B
Building DepaFt erTrnt
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3635 W GOLD FORK DR
EAGLE ID 83616-0000
Name and address of builder:
Covertech Industries Inc
Boise, ID 83713
Special Conditions:
Issued Date:
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