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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:
00786 POTATO PATCH DRIVE � I I O �� �� �
Project#: <
(Number) (Street) (Suite#)
Building Permit#:
Building/Complex Name: � ��/�,
Alarm Permit#:�Ti l 0— �X� -� �
Contractor Information: Lot#: Block# Subdivision:
Company: THUL ELECTRONICS
Company Address: PO BPX 534 Detailed Description of Work: FIRE ALARM UPGRADE
City: AVON State: CO ZiP: 81620 FOR SINGLE FAMILY HOME. EXISTING DSC
Contact Name: RON DAVIDSON 4020 FACP WILL REMAIN. NEW WIRELESS
Contact Phone: 970-949-4638 SMOKES, NEW WIRED HEATS/SOUNDERS.
E-Mail RON@THULELECTRONICS.COM (use additional sheet if necessary)
Town of Vail Contractor Registration No.:
112-S Does a Fire Alarm Exist7 Yes(�) No( )
Deborah °'"��..�-��.�.,�„. Does a Sprinkler System Exist? Yes O No(�)
XShaner
Work Class:
Contractor Signature(required)
New( ) Addition ( ) Remodel ( ) Repair( )
Property Information Retro-Fit(�) Other( )
Parcel#: 2101-063-01-063
(For parcel#,contact Eagle County Assessors Office at 970-328-8640 or Type of Building:
visit www.eaglecounty.us/patie) Single-Family(�) Duplex( ) Multi-Family( )
Tenant Name: Commercial( ) Restaurant( ) Other( )
Owner Name: STUPER,ANDREW J. &WANEE W.
Date Rece' ' � i,� i ' i� `\II il'
� v
Complete Valuation for Fire Alarm Permifi � �� �1�7 ��-�, �I
� ,
Fire Alarm$: $1800 � lo
JUL 1 � ZO
�OW� �F VAIL
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Digitally signed by David Rhoades �w'' � .k�
David �� � °�� ^�a�
DN:cn=David Rhoades,o=Vail Fire& �'�`dp � �a }
Emergency Services,ou=Prevention, ����'°�' �' a
Rh o a d e s email=drhoades@vailgov.com,r—US �'�
Date:2010.07.14 13:25:56-06'00' 29-MaV-�9