HomeMy WebLinkAboutA10-0104 voidDepartment of Community Development
75 South Frontage Road
Vail, Colorado 81657
Tel: 970 -479 -2128
Fax: 970 -479 -2452
Web: www.vailgov.com
Development Review Coordinator
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:
Fo�� 57 LA tr d - � 0 74 7
Project #: _
(Number) (Street) (Suite #) - _
Building Permit #:
C�
Building /Complex Name: celi 60y "_a .4A_ zG
t -�x
Contractor Information: Lot #: ` Block # _ Subdivision:
Company: �����/ P . . J / / /? ' - >66el` ll ` e.
Town of Vail Contr for Registration No.:
X /) �-
Contractor Signature (required)
Property Information r�
Parcel #. a LO t — 01 oa - o a-C)O
(For parcel #, contact Eagle County Assessors Office at 970 - 328 -8640 or
visit www.eaglecounty.ustpatie)
Tenant Name.
Alarm Permit #: b I U/0
(use additional sheet it necessary)
Does a Fire Alarm Exist? Yes (4_) No( )
Does a Sprinkler System Exist? Yes No( )
Work Class:
New ( ) Addition ( ) Remodel ( ) Repair ( )
Retro -Fit (fc-) Other ( )
Type of Building:
Single - Family ( ) Duplex( )
Commercial( ) Restaurant(
Owner Name: Qr p,
Date Received:
Complete Valuation for Fire Alarm Permit:
n,, ��Tar✓ 5� 'sr�
Multi- Family ( )
Other (X)
04,) FA%L(L4 UA,
NOV 0 9 2010
TOWN OF VAIL
Company Address: 30
City: A yiw State: & Zip: E
Contact Name: ,(/ 'J
Contact Phone: 301 " 3 64 - 2a) / 7
E -Mail dclfJ,
Detailed Description of Work: P -0 L L�770.0
5 Y' 5IS, Fv/L (3D i t✓ t 2 CCfAA,
29- May -09
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