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Re-Roof - 173611 - 30 W State St - 8/2/2017 City of Eagle Re-Roof Permit Permit#: 173611 Fees: Property Owner JACKSONS FOOD STORES INC Permit Fee $125.25 Owner Address 3450 E COMMERCIAL CT Total Fees $125.25 Owner City State Zip MERIDIAN ID 83642-0000 Less Deposit $ Issue Date 8/2/2017 Less Foundation Only $ Foundation Only Issue Date Balance Due $0.00 Builder Name Osmus Roofing LLC Builder Address 25482 Hop Rd Builder City State Zip Caldwell ID Builder Telephone 208-880-1301 Builder Registration# RCE-3654 Subdivision 4N 1E 08 Lot Block Property Address 30 W STATE ST Type Deposit Receipt# Issue Receipt# 15.007721 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 Development ACHD Notes: Re-Roof 30 Squares Contractor's Printed Name Contractor's Signature City Clerk/Authorized Personnel Call TheFCity,of Eagle Inspection Line (208)939-4462 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.