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HomeMy WebLinkAbout204 permit request f . ,. � i , � .� ''� 1 e , � ' ' ` �� ��� " �,�,� r �- Depar�ment;of,�omn5unity 4�velop�nenfl�� � � � �s y � x�! s �� �, ��;�'� °[`, a t�, . p � t � , � 7'5 S4Uth/�Fr �niyt' age �a� � . i � Y{h'� + � ��YtS ' S{ �� lt� 'y}� �} �} .j 5Z } S yY�f}x i • �f i�, � ��}1I �1 CI s.' �' ` . S 'o ,�" x� �`�E �'f �r�s' t :�; � 1"st? �,,t�v` �� ., ���,a � 8,� ,, ��: a z iE� `�' - �fi:'t,,,�•�' �� 3 `'',s'` '�{j,�I��'',, � y_ ��. � � . ' � ;Y� ����� } srt t�.�.r'r�$ �.. f �!' ��� t � 1 � �+5�` YK�'+� . . , �i; ' „ t - ' _s oeueU �d�n�n . �� �� } ..�,��E..�.4eeic �emeb�' �k#g �•� • e ra i w._��4 ?�.� , . .,�.� , 1' � �, �.Af ' 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 � � � (�� Office Use: � ��""��S �� Project #: (Number) (Street) (Sulte #) � Building Permit #: Building/ComplexName: �O �n v r S Alarm Permit #: Contractor `inf(ormation: / I �}�-- � �� �� � Lot #: _ Block # _ Subdivision: Company. .JdKNSo✓t ��L �7 lS yr� C� Company Address: �d 2 � � GF> • �eHT�N[N^G�( n.� Detailed Descnption of Work:-}�2�na.w� -'ct V. i S � City:(i E-�o'i� State:C3✓ Zip:�_ $u , 2C9 �p��_ -S kOC..J Vt Contact Name: J�"'fi✓' � C- (C— I"lP_(,t.�✓� CM d Noi.w �k �y' � Contact Phone�� �-( 3 2 3 ? ! "7 �7� � (use addilional sheet if necessary) E-Mail FL0.-�. vtitey-e� @ J c � . COUiI. _.... . .. ..... ...... ... —�— r?�? ^ S Does a Pire Alarm Exist7 Yes (w, No O �� Town of il ntractor Registration No.: 'T V �,� Does a Sprinkler System Exist? Yes �. No O X Work Class: Cont actor Signature (re ed) ...._ .. ._.. .... . .. .. . . .. .. ... ...... New ( ) Addition ( ) Remodel ( ) Repair ( ) Property�Informa�tlor�r Retro-Fit ( ) Other (� ` � Parce1 #.'roui✓ eµ—1 � 21 O � U8 ZO 1 Do '7 .'.' . . *e�K� ��K � S. � . (FOr parcel #, conlact Eagle Counly Assessors O�ce at 970328-8640 or �Type Of BUllding: visitvnwi.eagtecounty.us/patie) Single-Family ( ) Duplex ( ) Multi-Family ( ) TenantName; `/Q � � '�� �^2� �� Commercial (� Restaurant ( ) Other (�} � ��� (�`v.Qi � OvmerName: �m `Q.V� �S I . _._. ___ .__.. .__ ....._. � Date Received: . . . _. . .. .. i Complete Valuation for Fire Alarm Permi):,//� � � � � FireAlarm $: � O � 29-May-09