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HomeMy WebLinkAboutE04-0182.pdfTOWN OF VAIL 75 S. FRONTAGE ROAD VAIL, CO 81657 970 - 479 -2138 NOTE: DEPARTMENT OF COMMUNITY DEVELOPMENT THIS PERMIT MUST BE POSTED ON JOBSITE AT ALL TIMES ELECTRICAL PERMIT Job Address: 181 W MEADOW DR VAIL Location.....: 181 W. MEADOW DR. Parcel No...: 210107101013 Project No : 2 L( _b3 4 c OWNER VAIL CLINIC INC 09/15/2004 Phone: 181 W MEADOW DR VAIL CO 81657 License: CONTRACTOR ENCORE ELECTRIC 09/15/2004 Phone: (970)949 - 9277 PO Box 8849 Avon, Colorado 81620 License: 331 -E APPLICANT ENCORE ELECTRIC 09/15/2004 Phone: (970)949 - 9277 PO Box 8849 Avon, Colorado 81620 License: 331 -E Desciption: PROVIDE AND INSTALL NEW APPRATUS FOR NEW MRI UNIT Valuation: $33,000.00 s* k#* is# #ii #ii *f *fi #iiiii #f #iiiiii #f #f #iii # * # #fifiifiif #fi FEE SUMMARY Electrical — ------ > $594.00 Total Calculated Fees - -> $597.00 DRB Fee--- - - - - -> $0.00 Additional Fees ---------- > $0.00 Investigation ---- > $0.00 Total Permit Fee--- - - - - -> $597.00 Will Call--- - - - - -> $3.00 Payments------------------ > $597.00 TOTAL FEES - -> $597.00 BALANCE DUE--- - - - - -> $0.00 Approvals: Item: 06000 ELECTRICAL DEPARTMENT 09/15/2004 JS Action: AP Item: 05600 FIRE DEPARTMENT CONDITIONS OF APPROVAL Cond: 12 BLDG.): FIELD INSPECTIONS ARE REQUIRED TO CHECK FOR CODE COMPLIANCE. DECLARATIONS I hereby acknowledge that I have read this application, filled out in full the information required, completed an accurate plot plan, and state that all the information as required is correct. I agree to comply with the information and plot plan, to comply with all Town ordinances and state laws, and to build this structure according to the towns zoning and subdivision codes, design review approved, Uniform Building Code and other ordinances of the Town applicable thereto. REQUESTS FOR INSPECTION SHALL BE MADE TWENTY -FOUR HOURS IN ADVAI4f'E BY TELLPHONP*T 479 -214 OR AT 4 R OFFICE FROM 8:00 AM - 4 PM. Permit #: E04 -0182 Status ... . Applied .. . Issued. . Expires . .: ISSUED 09/15/2004 09/16/2004 03/15/2005 SIGNATURE OF OWNER OR CONTRACTOR FOR HIMSELF AND OWNER TOWN OF VAIL, COLORADO Statement Statement Number: 8040006670 Amount: $597.00 09/16/200401:13 PMPaymentMethod: Check Init: LCT 1181 Notation: Encore Electric / Permit No: E04 -0182 Type: ELECTRICAL PERMIT Parcel No: 210107101013 Site Address: 181 W MEADOW DR VAIL Location: 181 W. MEADOW DR. Total Fees: $597.00ThisPayment: $597.00 Total ALL Pmts: $597.00 Balance: $0.00 ACCOUNT ITEM LIST: Account Code Description Current Pmts EP 00100003111100 TEMPORARY POWER PERMITS 594.00WC00100003112800WILLCALLINSPECTIONFEE3.00