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Other - 11-11-060 - 1240 W Chinden Blvd - 11/23/2011 City of Eagle Zoning/Building Permit Permit#: 11-11-060' Mechanlcatl#: Fees: Property Owner Fred Meyer Stores,Inc. Permit Fee $50.00 Owner Address 3800 SE 22nd Avenue Plan Review $0.00 Owner City State Zip Portland,OR 97202 Grading Permit $0.00 Issue Date 11123/2011 Development $0.00 Foundation Only Issue Date Special Fee $0.00 Builder Name Fred Meyer Stores,Inc. IECC Fee $0,00 Builder Address 3800 SE 22nd-Avenue ACHD Fee $0.00 Builder City State Zip Portland,OR 97202 Mechanical-Res $0.00 Builder Telephone (503)797-5617 Mechanical-Corn $0.00 Builder Registration# N I A Subdivision P EM2 Fee $0.00 Lot Block Total Fees $50.00 Property Address 1240W Chinden Blvd Less Deposit $50.00 Less Foundation Only $0.00 Type SIGN Deposit Receipt# 5.001710 Balance Due $0.00 Issue Receipt# 5.001710 Foundation Only Receipt# SgFtLiving SqFtBmnt 0 SgFtGrg 0 SqFtPorch 0 Value Of/mprmnt $0.00 Eagle Water EM2 Fee 0 Eagle Sewer Development 0 ACHD Notes: Non Illuminated signage on the Fred Meyer fuel canopy and fuel dispensers. z..44.171/( -71/ //2 Builders Signature -- City Cleric/Authorized Personnel - L5W. �`"'----- ��j l l�l=ru l�YC<ag_tjt1)*( i 41c;.C1 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. Wednesday,November 23,2011 Page 1 of 1