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HomeMy WebLinkAboutA10-0025 application r — - - - ,� � �� { f` ' ! � � ,<��, �� -��,g� ' ' '�Y� � Department of.�ommunit�/ Dgv.elopmen }`� �� �'a'� � •y l '�" � �� 'ti+. Di Fall fi Mich el' tGe � � ��� ��a�� �� �`����Y,S, ;�, { � + ; `�,`�� MI����� : �=���� �t������ge;�aa � ;� .� �� � r� j.';� +i��.u� ��r �� ..'j � i`�.; �°��} . _ , ,�mergency Servi� . ,�,��� -"i � � ,a� ' 'E + r�t5 �•rb� `� email mrr}4g��,}�j ��.!• ; i ( -.' '�l- •�'' ! i�.t�{ r Daje 20�0 .{�{� �� "`�� - 1�, ., �I �.i f �,l' �i ��'� � _'�� jU �,r�d` .' , � oY�. �5�, �,�{� } 1 1 . '`1���t �r'r�. -�"�.�F �,�s . , ..;F•� {°�4�'{k��ti� ��cl�� QYY�4.� � t �� 2,-,.�.�$ .f� ._� � � � ,y�� ? �� � r�J�} ir� r�`�a,}r 1 .;t � t� }�Pr�tpI?'�yi�N� �_� r,; .. '�.� t `.� y����yK�,��_.F � �i �� +l.. ' {,;... J � D�1�(1�}����G)'�l{i����1�.���;r �`�j � - � � �� 1_� � � �''�- ���'i ' 3' _EJ..a:L'.5tbi�h5ocl'a'�i���"'\•t_,l��=�1' ����r V f���f��,��� ������ ��. _.,_y,�v.-.._._,. S_.,:._..'� - l' . . 1 , 4.. FIRE ALARM PERMIT Commercial and Residential Fire Alarm shop drawings are requlred at the time of applicatlon submittal and must included information I(sted on the 2nd page of this form. Application will not be accepted without this information. �LI ��2r��i �It; •Gt?I'L , . _....._.--,__.. __.._ . .,._ . Project Street Address: ��-z Offfce Use: �il �qsr' M(A�Jc�cu �icJ✓r `� �� �q � � l0�/ 1 Projecf#: (Number) (Street) (Suife#) � Building Permit#:�1�7�'���� � BulldingJComplex Name: Su�4z-�S � ��1 Alarm Permit#: � l�—W� ------ - ._ . _ ....,.,_,.... ` ... — ----... _ . _._...._ �Contractor(nformation V�'n�z- 'r�-i Lot#:,�Block�Subdivis(on:�( � ICompany: t� t c � r-+�..a N;�� �Company Address; 2 v M� G����� 5 T Detailed Qescription of Work: W�R..= '3�� 3 E ICity: (�=�✓'z State: C� Z(p: ��2��' �F��,..a;�y s Contact Name: (Z�� LJ��«��' ; � I Contact Phone: '3c�'3, `/3`/, S�S j I , I(use addiltonal sheet if necessary) E-Mall R U 9 rtC�N t L l�i�i t o•,,n a,�i�'� , C o:.. t�----_ ,-:..,_ ....-�.�... .,...._.._.- - _'--- - -...-_, .. _.-_.�,_! Does a Fire Alarm Exist? Yes�p� No( ) Town of Vail Contractor Registration No.: ��l 2- � �--- , Y boes a Sprinkler System Exist? Yes(�() No( ) � ,� �. �............ .°--- ----._ _...._ _....:., � _:.. ....,, `". �" Work Class: � ntractor Signature(required) _..��,_W _.�.�.�._..�_..._._.r __..._ ___, . ...: __.___.. . _..__. New( ) Addition( ) Remodel/,� Repair( ) Property Information Retro-Fit( ) Other( ) Parcel#: �/��c,�; '�_.io �c��2� ���,_� �,. _�,:-.. --�--°- --,- .. , _:....,:- - .-.:_,.,.� (For parcei ,contact Eagle County Assessors ONice at 970•328•8640 or (Type of Buildfng visitwww.eaglecounty.uslpatie) S�ngle-Family( ) Dupiex( ) Multi-Famlly( ) Tenant Name: ����-Tt�i �� �����1«1 Commercial O Resiaurant O Other(� �-�c��a z��� � __ --._. ... _ _ -- - iV' `r E-� J'�:.� —- - Owner Name: S ���� 1�} Date Received: __ _ -- _ _._ Complete Valuation for Fire Alarm Permit: �c< < s 'r�r-• � FireAlarm$: �1��,(� �An•��ri,,., n, �,,,�r��J '`�'^�� � _.. _ -_. _ I � � � O V � D `n�ran� e�� MAY 2 0 2010 I TQW f� n F �/q