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HomeMy WebLinkAboutA10-0044 TOV FA Permit request �, t Sr �� � �'' `:+� sf �m � ag ���� a�" � � � i�� i �:, Ss� � �. ,�� ... �����ax��'`"���.��; z _g-��'�-' �' be a��e��t Qf GPm�ii�ir�i �e b e ` � r � � � � . p !n h. f �Y� _ � � t t y , t '� , �� £ 't. ; r.�' � �'�3 S uth Fr�ntage' ' ` ., . � tR.� �:` �1 4F,y�t�r} h �.� � � s '.i���. 1���'��`' 2 � '. �• 'e � �' '� `� , e i V� - , � � s a 1 � • o,r�9, s '��5�5� � � , R� �.�t,, , ; , � "- t � �' 'R y� ,. . � +�@'�� 2 �.��* �� ,s'.; . ��1'.a}x�.�d�nA c �"�' r ' � - J . . Pr 'yi r.� � a - . �� ` � i{;' _ :'��F ��� � 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: � � ! E'.�� �' e�a.doG.�� �✓: a o 6 Project #: (Number) (Street) (Sulte #) / � Building Permit #: Building/COmplex Name: �� ! Q. [i' � � Alarm Permit #: -.. ____� .. . .. . . . . _. . .__ . _---�-- . _ . ... Contractor-ITn�f?o, matlon: / /_ Lol #: _ Block # _ Subdivision: Company V ��HSdrl �K 'D� U ���s �- Com an Address: �L W . ��M[� � � r P/ Y�y etailed Description of Work:'�yta�.in,�""" -Q-� hlS ✓l City: L/�/ /(E7�rc Stat�� Zip: S� �Z 7 -}d ,Su; '�2� 2l96 Oi...S S 11aC+� N Contact Name: -�C�'����. �G G�2�,� �2✓'` � � ,1 Contact Phone: 3 �3 P� Z .� 7 / 7 fi ��Q f � JG ( . CQ � (use adddional sheet if necessary) E-Mail �o� , _. . . _ ... -._ . _ . . .___. �1 ---- 9 -L 3 - S Does a Fire Alarm Exlst? Yes� No ( f Town of C nUactor Re istralion No.: • Does a Sprinkler System Exist? Ye`s� No ( ) X ' . . . . __.. . . _. _ . . . . . . . . . Con actor Signature (requ' � Work Class: _-_- - .- . . . . .._-. . . . . ._ . .. . New ( ) Addition ( ) Remodel ( ) Repair ( ) Property/I�nformation � Retro-Fit ( ) Othei`�Q � '� � . Parcel #:W�ri.tt�"� oZ ( � ( 0 `82�! 00 7 °-- , Tena. �'l�' ti (For parcel #, conlact Eagle County Assessors Office at 970328-8640 or Type of BUilding: � visilwww.eaglecounly.us/patie) Single-Family ( ) Duplex ( ) Mul�i-Family ( ) Tenant Name: S�� '�� S�t ��'{�i � �k�'IQ'(at �mQ ommercial j�Restaurant ( ) Olher (� � ��H � r -- ---- - . --- Owner Name: _ _ �Lh r f � Date Received: .-- � -` - - - _ .._. . _ .. . . Complete Valuation for Fire Alarm Pertr� � � ..f// �p FireAlarm $� �Tf� 0 I � 29-May-09