HomeMy WebLinkAboutE10-0256 withdrawnDepartment of Community Development
75 South Frontage Road .
Vail Colorado 81657
r . Tel: 970- 479 -2128
{` a, Fax: 970- 479 -2452
Web: www.vailgov.com
Development Review Coordinator
ELECTRICAL PERMIT
Electrical Permit Submittal Requirem Including Heat Tape Installation
❑ Floor plan / Site plan showing proposed work
• Building Type
• Occupancy Group listed on plans
• Load Calculations and one -line diagram when loads or circuits are being added
NOTE: For Multi - Family and Commercial buildings —plans and calculations must be prepared by a Colorado Licensed Electrical Engineer
Project ct St t Addr 6
(Number) (Street) (Suite #)
Building /Complex Name:
Office Use:
Project #: P R's I b - (p (0,2 &
Building Permit #: —,A A -
Electrical Permit #: F 1 D — D A (o
Contractor Information:
' `e / Lot #: Block # Subdivision:
Company: Vy ,U � �I11 -G��'� C-
Company Address: �� � � Z
Define Scope and Location of Work:
City: L" C(_ State: CO Zip �6 f(� � G�
Contact Name: m�� Y %��- �✓ ✓�� �' ����'
Contact Phone: 9 J l J u r l ��/1 T
E -Mail /;:�'
Town of Vail C9ntracA RVgistration No.: /�� - l Z , /
X
Co
Signature (required)
Property Information _
Parcel #:
(For parcel #, contact Eagle County Assessors Office at 970 - 328 -8640 or
visit www.eaglecounty.us /patie)
Tenant Name:
Includes Temporary Service: ( ) Yes ( ) No
Work Class:
New ( ) Addition ( ) Remodel ( ) Repair (✓)
Other ( )
Type of Building:,
Single - Family (0 Duplex ( Multi - Family ( ) Commercial
( ) Restaurant ( ) Other ( )
Owner Name:
Date Received
Provide BOTH square footage of area of work AND Valuation
(Labor & Materials) < 95
Amount of SQ Ft.:/ J�S�
Electrical $: [ �b
1 93.75
I �c�� eo �
OCT 06 2010 D
TOWN VAIL
01-Jan-10