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Demo - 171510 - 422 S Edgewood Ln - 4/17/2017 City of Eagle DEMO Permit Permit#: 171510 Fees: Property Owner HERON FAMILY TRUST RESTATED Permit Fee $15.00 02/10/2015 Total Fees $15.00 Owner Address 10941 SPROUL AVE Less Deposit $ Owner City State Zip LOS ANGELES CA 90064-0000 Less Foundation Only $ Issue Date 4/17/2017 Balance Due 50.00 Foundation Only Issue Date Builder Name Owner/Lessee-Builder Builder Address Builder City State Zip Builder Telephone Builder Registration# Subdivision 4N 1E 15 Lot Block Property Address 422 S EDGEWOOD LN Type Deposit Receipt# Issue Receipt# 13.007187 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: home and outbuildings Contractor's Printed Name 73 r e 47€' tr Q 1r\ Contractor's Signature L/ ‘1/61 `��i City Clerk/Authorized Personnel U e ro, ar ..pr '�?��. / �uu ., 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.