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A13-0006 APPLICATION
DepartmentofCommunityDevelopment 75SouthFrontageRoad Vail,Colorado81657 Tel:970-479-2128 Fax:970-479-2452 Web:www.vailgov.com DevelopmentReviewCoordinator FIREALARMPERMIT CommercialandResidentialFireAlarmshopdrawingsarerequiredatthetimeofapplication submittalandmustincludedinformationlistedonthe2ndpageofthisform.Applicationwill notbeacceptedwithoutthisinformation. ContractorInformation: Company:_____________________________________________ CompanyAddress:______________________________________ City:____________________State:_______Zip:_____________ ContactName:_________________________________________ ContactPhone:_________________________________________ E-Mail________________________________________________ TownofVailContractorRegistrationNo.:____________________ X___________________________________________________ ContractorSignature(required) ProjectStreetAddress: ___________________________________________________ (Number)(Street)(Suite#) Building/ComplexName:________________________________ PropertyInformation Parcel#:______________________________________________ (Forparcel#,contactEagleCountyAssessorsOfficeat970-328-8640or visitwww.eaglecounty.us/patie) TenantName:__________________________________________ OwnerName:__________________________________________ CompleteValuationforFireAlarmPermit: FireAlarm$:__________________ OfficeUse: Project#:________________________________________ BuildingPermit#:_________________________________ AlarmPermit#:___________________________________ Lot#:____Block#____Subdivision:__________________ DetailedDescriptionofWork:_______________________ _______________________________________________ _______________________________________________ _______________________________________________ (useadditionalsheetifnecessary) WorkClass: New()Addition()Remodel()Repair() Retro-Fit()Other() TypeofBuilding: Single-Family()Duplex()Multi-Family() Commercial()Restaurant()Other() DateReceived: DoesaFireAlarmExist?Yes()No() DoesaSprinklerSystemExist?Yes()No() 29-May-09