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1/31125, 3:01 PM Submission Completed Building Permit Additional Payment Receipt Date * 01 /31 /2025 Type of Permit* Residential - Other Permit Number* BLRE-02-24-8525 Fee Adjustments? Yes No Fee Adjustment Section Permit Identifier 4031642 Confirm Permit Identifier* 4031642 Est Valuation $ 0.00 Est Check Fee $ 0.00 Est Building $ 23.50 Permit Fee Amount $ 100.00 Previously Paid Adjusted Fees Subtotal $ Additional Fees? Yes No Revised Balance Adjusted Fees Subtotal $ '%IQ,. j 5 (if applicable) Additional Fee Subtotal $ 0.00 Revised Balance Due $ Final Valuation $ 64160.40 Final Plan Check $ 486.69 Fee Final Building $ 748.75 Permit Fee Final Fees Owed $ -1 41 5 https:/Ivitsl9lfvveb.garfield-county.com/Forms/Form/Submit 1/2 1/31/25, 3:01 PM Submission Completed Payment: Date Pay Type Check Number Amount Paid 01/31/2025 Credit Card $ 748.75 Amount Paid: Amount Due: Received By: $ 748.75 $ o.00 Teresa Bianco https://vitsl9fteb.garfield-county.com/Forms/Form/Submit P12