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HomeMy WebLinkAboutA10-0012 TOV FA Permit request _ i �� F ` �.� ; ����" ��,, r Department��qf,Gorolnunity dgv,elo�S�ner�b�� s ' f� ; � y� ����� ' , ��, � � r , t� �5 S� yVUth Fr�ny�tage a�'. -,�. ,, r;(' , r„� �� � s4�z�"t'.I �� '9 �# � � ? ��T �.,„, ����sa tie °ir 'Va�� '{�i Q����Yq, 5 Y �� � �,�,y1 F"� � r; � �� �'�; ! r §S f� � � y � ' y cl e '` tC�? ��'� 3''�`�,� � i` 8 .nY e +,�� yy �'� a �t �� vl}� .4 �� � �3' A l�';. !*,�-�':{,�a•-� � 1 � � �� " �.u'��� x., , � s : s, � ,y; r ,,�: Sr �' � � i� ?�J1 "�i + � x !� 1 zr ��rr;k ,��r r' 1 t . � GIIV?i�:!f ���'b � '`� '�' .� ¢ @VS c� 3 i�Jl . s , �a. � . ���!��,,� r, � ._ �. � ,�� ��f..�lx ��..F�'-sY� .!`� . . , ' FIRE ALARM PERMIT Commercial and Residential Fire Alarm shop drawings are required at the time of application submittal and must included information listed on the 2nd page of this form. Application will not be accepted without this information. Project�Street Address: � / p Office Use: � � � . �� //t'(.Cd-iLOC.uS Uf� 2 �7i Prolect #: (Number) (Street) (Suite #) / r� Building Permit #: BuildinglComplex Name: �� ( Q�N ( Alarm Permit #: .. ... .. ._._ _ _ _ . . . . . . . _. .. . .. .. . . ... . ... . .. . . . .. _. ._. . . . . . . . . . ... . . . Contractor Information: /��� ( Lot #: _ Block # _ Subdivision: Company: JO�VtSWL W�l`NO� �Ci vJ � �y. e / CompanyAddress � dZ�� U� . G2t i2N1 I�-� Detailed Description of WorkT��a�� 1 � ✓tlS �1. c�ry: �r� �'1 e �� State: L'� z�P: `8� ! � 7 S„-� Zo2. �s S�r o w�,�`. ContactName: Vtn:�Y'i �,L � Q� '� � � �Vccw k�S � contact Phone:�3�3 �t3 2 `3 °� f 7 . (use additional sheet i( necessary) E-Mail �� lM.2cl2V` @ -� G t . CCS �.i/� .... .... ..,.. ...,. . Tovm of ' ontractor Registration No.: 7 � 3 S � Does a Fire Alarm Exist? Yes� No ( ) Does a Sprinkler System Exist? Yes � No ( ) X � WorkClass: . . .... _ .... . ._ . .. . . . .. .. .. . .. . . . Contr ctor Signature (req ' ...d) .. . . . . _. New ( ) Addilion ( ) Remodel ( ) Repair ( ) Property I/D�formation Retro-Fit O Other(� —E-,Qy,a „�,'� ..�, „ � J � Parcel #: i�Ot.�dCf'� 2 t0 ( (`� `�24 ( �� ? ._._ ..... ........ .. . . . .. (POr parcel , contact E�agle Counly Assessors O�ce at 970328-8640 or Type Of Building: visitvrviw.eaglecounty.us/patie) Single-Family ( ) Duplex ( ) Multi-Family ( ) �� Tenant Name: W��� ��✓� l O t�,S Commercial � Restaurant ( ) Other'(�} RQ j r`�p�,K-�-i,QQ Owner Name: �Cl ( Ct v' 6 S . . . . . . . . . . . . . . . .. . .. .. .. . . . _. .. _ .J Date Received: Complete Valuation for Fire Alarm rmit: � � � � /� ��° 00 Fire Alarm $: �� Cl �sa 29-May-09