The URL can be used to link to this page

Home My WebLink AboutA10-0072 application �� ,�x� � � �� s t �, Department, of Commun�ty Dgvelopmen�;� �'�h�c��,� ,� '� ��$ �, ,�� ^� , . � � � � �qut F�gnta5st$�o � . � f � . t 5 h � , , f ,� �� ,� • t , r � t > } � � ' ,ahi�l .C.�¢Q} o�(��c1��,� �; �. i� �¢ P�� r q.p 5 3s �' �� 4 l F� ' � � t `��"` � � t ,T? L�Sy�r�� 1"��9��1.^'� . ..# � �rd � !".£ �..� 5 � 4� ° � f�F�4� '�.G;�I ' Q . � � `ra` t ' s.. � z •a„ e t ! r `. � : �{5L�?r�sy = j'� , �€ ,� ' DevO` ��4S1�P . 4d� ^ ', .w,� �� ,�� - ;1 �y - �� .t �� ,;�"C' ,,,3 _ 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�Ad+ dress: � � / � � � ��q � �� Office Use: I � r�-/ �u G�l ,[/✓' � � � Project #: � (Number) (Street) (Suite #) / i Building Permit #: ; Building/Complex Name: � ! �L v' i�' Alarm Permil #: i � .__ _.. .._.. .. i Contractor fyrmation: Lot #: _ Block # _ Subdivision: i „�ok v�co�-i Cr�,�-frr� �S �' � Company: �— � . �� p y ��'� C.v ��HHioJI F.a�—petailedDescri tionofWork:'�HUH�� "' Com an Address: � , p f"'sstlJ � ; � Clty'�0 �{le�x_ StateG� Zip: a!z F� s� ��f-� (06 D`s S�dw�r �- � /,�^ �� /� I Contact Name: �/c�i ��L y��2 V�2� oF✓ �H � Contact Phone: � � `4 9 `� 2 3 7 / 7 � C � C O � ( (use additional sheet if necessary) � � E-Mail �x.y. 1.�t P 9 Q- r J^�3 ^ � � �Does a Spri kller System Exist? Yes� No O � � i ITown of ntractor Re isVation No.: � ,, X � , � Work Class. ' Contractor Signature (req ) !. � New ( ) Addition ( ) Remodel ( ) Repair ( ) Property Information ' Retro-Fit Other � � Q�.v�.�rf'�ZI o � o�ZO iar� ? � � ?. 5�- -t-eKtwd° �� K ; r Parcel #: ' � (For parcel , contact Eagle County Assessors Office at 970-�28-8640 or , Type of Building: , visit wvnv.eaglecounty.us/paoe) !( Single-Family ( ) Duplex ( ) Mulli-Family ( ) ',, ; Tenant Name: �@— �--0 I�G�� ( Commercial�9. Restaurant O Other ¢4 ,�.r��a,,e � /' � '. .. . .. . . . . . _._ . . . . .. . .. . ._. . ... . . I Owner Name: � /a NG� f I Date Received: i ... . .. . . . ... ... ....... . . .. .. . . _ ;, II Complete Valuation for Fire Alarm Pe ' , � IiPireAlarm $: �� 7 � '�.. i . ... . . .... . .. _ .. ... . ___ . .. . . . .. . . .; 29-May-09