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Manufactured Home - 190122 - 202 Flagstone Ln - 01/09/2019 • City of Eagle Manufactured Home Permit Permit #: 190122 Property Address 202 Flagstone Ln Fees: Property Owner Other $50.00 Owner Address Total Fees $50.00 Owner City State Zip Less Deposit Issue Date 1/9/2019 Less Foundation Only Foundation Only Issue Date Balance Due $0.00 Builder Name S&D Mobile Home Set Up Builder Address Builder City State Zip Builder Telephone Builder Registration # Subdivision Lot Block Property Address 202 Flagstone Ln Type Deposit Receipt# Issue Receipt# 31677182 Sq Ft Living 0 Sq Ft Burnt 0 Sq Ft Grg 0 Sq Ft Porch 0 Value of Improvement $0 Eagle Water EM2 Fee Eagle Sewer Development ACHD Notes: Install Mobile Home Contractor's Printed Name ) - ) Contractor's Signature 1(e4/frjj -V 04 14- r- City Clerk/Authorized Personnel COLIO '060fP,Oe Inspection, 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.