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HomeMy WebLinkAboutB13-0467 CR1 TRANSMITTAL Department of Community Development 75 South Frontage Road TOWN OF VAIL ° Vail, CO 81657 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: ©416 7 CP Attention: ( ) Revisions ( ) i Response to Correction Letter a _attached copy of correction letter G� ) Deferred Submittal Other Project Street Address: (Number) (Street) ,(Suite#) Building/Complex Name: _/ � Description of Transmittal/List of Changes, Items Attached: App I i cant.Information n (architect, contractor, ner/owrwr s rep) Contact Name: Address: �� 7 G City State:Zip: Contact Name: (use additional sheet if necessary) Contact Phone: 1 11111,74 Building Permits: �j Revised ADDITIONAL Valuations (Labor& Materials) Contact E-Mail: C �v (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 t g d subdivision codes, design review ap- proved, Int ma nal wilding and Residential Codes and other Mechanical: $ ordinance of t T p cable thereto. Total: $ X Owner/O is Representati Signature (Required) Date Received: D [E OWE For Office Use Only: 0 6 2013 Fee Paid: NOV 1`I s Received From: Cash Check# TOWN OF VAIL CC: Visa/MC Last 4 CC# exp. date: Authorization #