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HomeMy WebLinkAboutfees_receipt_80779_2116_80779_12-22-2016-0.pdfPERMIT FEE RECEIPT Case # B16-0501 Date Printed: 12/22/2016 TOWN OF VAIL - FEES RECEIPT Permit Summary Case Number:B16-0501 Status:Created Permit Number:Date Started:12/22/2016 Permit Type:Construction Subcases Commercial Lot Number:2 Property:108 S FRONTAGE RD W (210106408001) Contacts Contact Type:Applicant Company Name:AMS Full Name:Eric Moberg Address:CO Email:emoberg@amsofusa.com Contact Type:Property Owner Full Name:VAIL CLINIC INC VAIL VALLEY MEDICAL CENTER Address:PO BOX 40000 VAIL, CO 816587520 Contact Type:Site Superintendent Company Name:AMS Full Name:Eric Moberg Address:CO Email:emoberg@amsofusa.com Permit Fees Fee Information Account Amount Construction Tax 110-0000.31060.00 $1,408.36 Permit Fee 001-0000.31111.00 $1,620.00 Plan Review 001-0000.31123.00 $405.00 Will Call Fee 001-0000.31128.00 $5.00 Payment Information Date Paid Payment Type Amount Plan Review 12/22/2016 Credit Card $405.00 Paid By: - Notes: visa-eric moberg FEE TOTAL $3,438.36 AMOUNT PAID $405.00 BALANCE DUE $3,033.36 12/22/2016 - 1:57:53 PM - Generated by: cgodfrey75 South Frontage Road West, Vail, Colorado 81657 1 / 1