HomeMy WebLinkAboutA13-0067 'f, Department of Community Developmenf
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-- ' i� �' � DeKelopment Review Coordinator
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FIRE ALARM PERMIT
Commerciai 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:
001001 Vail Valley Dr. #A
Project#:
(Number) (Street) (Suite#)
Building Permit#:
Building/Complex Name: Rutherford Residence
Alarm Permit#:
Contractor Information: Lot#: Block# Subdivision:
Company: Xssentials by Thul Electronics
Company Address: PO Box 534 Detailed Description of Work: Install monitored wireless
City: Avon State: C� Z;p; 81620 fire alarm system.
Contact Name: Ron Davidson
Contact Phone: 970�949.4638
E-Mail ron.davidson@xssentials.com (use additional sheet if necessary)
Town of Vai ontr ctor Registration No.:
112-S Does a Fire Alarm Exist? Yes( ) No(r)
Does a Sprinkler System Exist? Yes( ) No(�)
X Work Class:
Co tractor Signature(required)
New( ) Addition ( ) Remodel ( ) Repair( )
Property Information Retro-Fit(�) Other( )
Parcel#: 2101-081-01-004
(For parcel#,contact Eagle County Assessors Office at 970-328-8640 or Type of Building:
visit www.eaglecounty.us/patie) Single-Family( ) Duplex(�) Multi-Family( )
Tenant Name: Commercial ( ) Restaurant( ) Other( )
Owner Name: Susan Repetti Rutherford
Date Received:
Complete Valuation for Fire Alarm Permit:
Fire Alarm$: 2650.00
29-Mav-09