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HomeMy WebLinkAboutB13-0126 REV1 CR1 TRANSMITTAL Department of Community Development 75 South Frontage Road TOWN OF VAIl. ' 0 Vail, co s1s57 Tel: 970.479.2128 www.vailgov.com Development Review Coordinator TRANSMITTAL FORM Use this form when submitting additional information for planning applications or building permits. This form is also used for requesting a revision to building permits. A two hour minimum building review fee of$110 will be charged upon reissuance of the permit. Application/Permit#(s)information applies to: Attention: ( ) Revisions v ( ) Response to Correction Letter fin 2 l-t 1 _attached copy of correction letter 15,5 P�l �. I ( Otherre� ubmitt IW,4it C� 1 Project Street Address: (Number) (Street) (Suite#) Building/Complex Name: wl �� Description of Transmittal/List of Changes, Items Attached: Applicant Information (architect,contractor,owner/owner's rep) # Contact Name: 6M :Address: ;bv s 1 City Stta/te: U Zip. 7 Contact Name: (use additional sheet if necessary) Contact Phone: Building Permits: C o5 1 C�Revised ADDITIONAL Valuations (Labor&Materials) Contact E-Mail: (DO NOT include original valuation) I hereby acknowledge that I have read this application,filled out Building: $ in full the information required,completed an accurate plot plan, and state that all the information as required is correct. I agree to Plumbing: $ comply with the information and plot plan,to comply with all Town ordinances and state laws, and to build this structure according Electrical: $ to the town's zoning and subdivision codes, design review ap- proved,International B ' Ing and Residential Codes and other Mechanical: $ ordinances of the applicable thereto. X Total: $ Owner/Owner's RLIpresentative Signature(Required) Date Received: D For Office Use Only: 0 2013 Fee Paid: OCT t�t J Received From: Cash Check# TOWN OF VA I L CC: Visa/MC Last 4 CC# exp.date: Authorization#