Re-Roof - 175392 - 385 E Amanita St - 11/6/2017 a
1 .
City of Eagle
Re-Roof Permit
Permit#: 175392 Fees:
Property Owner HURLBERT DAN L& Permit Fee $83.25
Owner Address 385 E AMANITA ST Total Fees $83.25
Owner City State Zip EAGLE ID 83616-5067 Less Deposit $
Issue Date 11/6/2017 Less Foundation Only $
Foundation Only Issue Date Balance Due $0.00
Builder Name Owner/Lessee-Builder
Builder Address
Builder City State Zip
Builder Telephone
Builder Registration#
Subdivision EAGLE VILLAGE SUB NO 02
Lot 7 Block 7
Property Address 385 E AMANITA ST
Type
Deposit Receipt#
Issue Receipt#
Sq Ft Living 0 Sq Ft Bmnt 0 Sq Ft Grg 0
Sq Ft Porch 0 Value of Improvement $0
Eagle Water EM2 Fee Eagle Sewer
ttDevelopment ACHD
Notes: 15 squares
Contractor's Printed Name DC/bt /7 6; r l A t—
Contractor's Signature , (1&'
P Atb ..ThiA0411)11
City Clerk/Authorized Personnel y
Call amity of Eagle pion Line
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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.