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BUILDING PERMIT APPLICATION
Separate permits are required for electrical, plumbing, mechanical, fireplace, etc.
Project Street Address:
1210 CND, All f-W,, 4 S
(Number) (Street) (Suite #)
Building /Complex Name: A16VE
Contractor Information: �,,.`�,{��
Company: (4y &001JA
Office Use: Mi—) D0/ p�
Project #: `�Q FAO
DRB #: F 100-55 a
Building Permit #: ID — C) f r
Lot # Block # Subdivision: &ee
Company Address: P D BOX 3970 Detailed Scope and Location of Work: , c.� �,a
City: 4y `y
N State: 6V Zip: �1� Aox Ae , iO Y* 7D yr yno)
Contact Name: SemMe8r_
Contact Phone: �70 — 3yb ` 2tZ(
E -Mail ma Q
Town of Vail Contractor Registration No.:
X
Contractor Signature (required)
(use a itional sheet if necessary)
Work Class:
New ( ) Addition ( ) Remodel ( ) Repair ( ) Other (
Work Type
Interior ( ) Exterior ( 1 ( )
Property Information Type of Building:
Parcel #: 2/ 103l2 3 1*2'*z40 Single - Family ( ) Duplex (_1111M"ulti- Family ( )
(For parcel #, contact Eagle County Assessors Office at 970 - 328 -8640 or l ia
visit www.eaglecounty.us/patie) Commerci ) Othe )
Tenant Name: Does a Fire Alarm Exist? Yes (� No( )
Owner Name: �� �� Monitored Alarm? Yes (•� No( )
1 . _ Does a Sprinkler System Exist? Yes ( ) No (
Valuations (Labor & Materials)
Building:
Plumbing:
Electrical:
Mechanical: (including fireplace)
Total:
vow
91
$ 9 ,
I
# & Type of Existing Fireplaces: Gas Appliances
Gas Log Wood /Pellet Wood Burning
# & Type of Proposed Fireplaces: Gas Appliances _
Gas Log Wood /Pellet Wood �Bu
— - -._... .._ _. .. _�......� V IE
Date Received: D
OCT 14 1010
TOWN OF VAIL
15- May -10