Building - 233367 - 122 S Cooksom Ave - 10/31/2023City of Ea le
Building Residential Permit
Re -Roof
Perrnit 233367
Property. Owner BJORK RUSSELL
Owner Address 1.013,5 W PRESERVE ST
Owner City State Zip START ID 83669-0000
Issue Date 10/31/2023
Foundation Only. Issue Date
CORP DBA MIGHTY DOG
Builder Name
ROOFING
Builder Address 4792. W Overland #200
Builder City State Zip Boise ID 83709
Builder Telephone 208-996-6009
Builder Registration #
RCE - 60696
Subdivision CHAUMONT SUB NO 03
Lot 10 Block 3
Property Address 122 S COOKSOM AVE
Type
Deposit 'Receipt #
Issue, Receipt 29.000894
[Living
A[Basement
rea
Sq Ft Living Square Sq Ft Brimt Square Sq Ft Grg 0
Feet]
Feet1
[Porch
Sq Ft Porch Square Value of Improvement SO
Feet]
Eagle Water EM2 Fee Eagle Sewer
[Eagle
Development ACHD [ACHD Certificate #.1
Development/Impact]
Notes: Using 29 squares
Contractor's Printed Name
Contractor's Signature
City Clerk/Authorized Personnel
Fees:
Building Re -Roof 5I22.45
Total Fees SI.22.45
Less Deposit
Less Fotuldanon Only
Balance Due $0.00
To schedule inspections.
Please go to p0 liworq.ne
,
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.