Tenant Improvement - 162657 - 3101 E State St - 09/01/20163101
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Permit #: 162657
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
Property Address
Type
Deposit Receipt #
Issue Receipt #
Sq Ft Living 543
Sq Ft Porch 0
Eagle Water
Development
Notes:
City of Eagle
Tenant Improvement Permit
Fees:
ST LUKES REGIONAL MEDICAL CENTER Permit Fee
LTD Plan Review Fee
TI Plan Review Deposit
9/1/2016
Date
St Lukes Health System LTD
190 E Bannock St
Boise ID 83712
208-381-7861
RCE-37160
Block
3101 E STATE ST
13.005280
13.005729
Sq Ft Bmnt 0 Sq Ft Grg 0
Value of Improvement $19277
EM2 Fee Eagle Sewer
ACHD
$311.12
$102.23
$100.00
Minor Remodel/TI that includes the removal of existing
medical imaging equipment & replacement with a newer
model.
Contractor's Printed Name
Contractor's Signature
City Clerk/Authorized Personnel
Total Fees
Less Deposit
Less Foundation Only
Balance Due
$51335
$
$0.00
uti,L_D.tl
(fall The City of Eagle Inspection line;
(208) 93944462 5. a
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.