Water - 230611 - 12795 N Horseshoe Bend Rd - 03/14/2023 City of Eagle
Water Permit
Tenant Improvement
660 E. Civic Lane, Eagle, ID 83616
(208) 489-8777
Permit #: 230611 Fees:
Property Owner TREASURE VALLEY CHEVRON INC Water-3/4 $1,115.00
Owner Address PO BOX 140363 Water-STL-3/4 $2,100.00
Owner City State Zip GARDEN CITY ID 83714- 010 Water- WCE-3/4 $400.00
Issue Date 03/14/2023 Total Fees $3,615.00
Builder Name IDAHO BACKHOE Less Deposit
Builder Address 415 S Robinson Blvd
Builder City State Zip Nampa ID 83687 Balance Due $0.00
MR, V V g
Builder Telephone (208)697-2155
Builder Registration#
RCE-5068
Subdivision 4N lE 03
Lot Block
Property Address 12795 N HORSESHOE BEND RD
Type
Deposit Receipt#
Issue Receipt# 13.000992
Notes: Transfer from well to city water
Contractor's Printed Name
.0.
/
Contractor's Signature
YVI AAA
7/1 mmefl'''CL
City Clerk/Authorized Personne
AtIW t 00 0 1111 1111 11111 0,e t*on s a 00 ) 100 0 111,11111111 01 101 00 0 Ea!! It) 1000 00 a Tit! ). 5, 11 00,, I,cif I 00 11111111 00 hi 00, 10,:0 11111111) 1 00 11 00)
Idaho .)„,,Fd s lin Public Wa ribs Construchovi. Build ,rs will be fin .1 S500 0.1 So a a. v Jo taperobti ad in v
themselves or ))))). 101.