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HomeMy WebLinkAboutB13-0129 Application Department of Cnm�nunity �eMelopment 75 5�uth Frantage Fioad TOW�V UF VArL' �v��E,CO 81657 Tel: 9T4-419-�128 www.rr�ilgo�.cam De�reloprnent Re�6ew Coo�dinatar BUILDING PERIVIIfi APRLICA�fC7�l {S�parate applicatiQns are req�ired for alarn� � s�rinkEer) Project Str�et Address: Praject# PRJ13-0158 ��LL+���L�t'�`�Uf'�a�'r--��--+�Ya� �— _ DRB#: (Number] (StreetJ �5uite#� BuildinglCvmplex Narme: ��?^(�C7�'-_�L''�"�� L� guildmg Permit# B13-0129 �Corrtractor Informakion Lot# Block�# Su�cievisran �3us�Ress Name:�� �11�1�C�1 T+� ��� � --�� Wark Class: New�} Additivn� Alteratidn(�f Bus�r�ess Adciress:� C�ty V 'h'�+�-- 5take �_Zip � ' � Type af Build��ng: Single-Family� Duplex� Multi-Family� Gantact Name: � � Commercial(�C�ther� Gc�ntact Phorre: L�� ��W "t�'J� ��� �������� ��r�� � Work Type: Interive y�ji Exteriar� Both{� Gantact E-IIAaI T � ���G I h�r�by acknowle�ige that I have read tEs�s applieakion,f Iled out Valuation of in full the irafarmaf9r�n r�quired,cnmpleted an accurake plok plan, Work lncluded �lans Included Work arrd stat�that all the inforrr�a4ion as required is correct. '1 agree ta Ele�trical es �No Yes �No ��`j�. - comply wilh[he�n#carmation and plot pfan,to comply with all Tnwn ardina►�ces and st�#e laws, and ta k�uild this struGtur�aGCOrcfing tv Mechanicad Yes �)No �Yes �No � khe town's zanmg and suk�di�isaoa�codes, desigr� review ap- prfl�+ed.Intern�tional Building and FZesidential�ades and other Plumt�ing �Yes �jNn �Yes �No��� ordrnance #he Tawn applicat�le thereto „ B�seYdin� �Yes �No �Yes �hl'o �y��i:�� . �► Val'ue of all work bemg perfarmed: $ � l7wnerlC3wn�er's Repre ntative Signature�RequiredJ (�ai�e�asea on i�c s����n ros 3 a�RC sec�;�,n iaa s) Eleetrical Square Faotage � App1icant Informativn� �etailed 5cope and Lc�Gation vf Work , AppEicant Name ���' � o�l'`'i''�'I� �, �LC�. �C"� Applicant Phane: �s�.en����r� ���Lf ����.,v,�.i ry r�r� r� AppGcanf E-Mad: Project Informakion �4 � , ��� C)wr�er hlame: Parce�#: r�.l�t"� .�. � �.1 `-OG�z�, (For Parcel q,conlact Eagls County Assessors!]ffice a!(970-328-8640 vr visit vvvner.ea g lec o u nty.us Ipatie f (use additional sheep 6f rbecessary) f�ur[lffi4c 1 itir[)nl► Qatc Necciwed: F�ee Paid: Recei�ed From: Cash Check # CC: Visa 1 MC Last 4 CC # �exp�iate: Received Auth # TQ WN O� VA I L�r By Carolyn Godfrey at 4:02 pm,Apr 29,2013 I'-Rl,u-'�iil_'