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E03-0230
� � � TOti4'�I �7F V�'II1. DI=��TMEN`7'pF CUMMUNITY I7�VELC+�'�Ttu1�T 75 S. F'R(�NT`ACiL: K(�AD 1.� �,c.�.� C � '��A[L, CC) $1657 �_c�r- lU�, �����` � � c�`--'�� �Jr � 97�-47�-213$ T�E(1TE: 'i�HlS PE�MIT ML�ST BE PCISTED�N J(�BSiTE AT AI.I.'i�IMi�S � ELE�C-i'T�ICAL. E'ERMiT Perrnit #: �C13-�?3C� ����� .€ob Address: 313i� E3C)O"i'H C.REEI� I]R V.�ili., 5tatus . . . : 15SU�13 Locatian.-.--= 313[� 13C7C3TI l CREEK DRtVE f�p�liec� . . : 1013f}1?(lQ3 Parcc[ No...: 210142304002 l�st,�d _ . : 111'1�I?Oa� f'rc�ject T'va : ��'k�C j; Q.�i; � Fx�ire5 . .: �51]?12t1U4 awrr�R x�rrr�, B��ra� Jvx��u x a 1�a 1 z o�3 pnon�: r�ov� �rousa� �� 4uE��s � WEYSRII]GE SURREY UNITED KING37JM KT�.39UX Li�ens�: CO1�TI'RACTOR EAGLE VAI�LEY ELECTRIC �Q/3{�/2003 Phone: 9`7(7-827-5772 P C7 BOX 1A15 V.AIL, �D 81658 Li�ense: �5�-E APPLICANT �Ff,G�� VA�,LEY �LECTRIC 14/30,1�043 �'hOne: 970-8�7-5'772 P C) BQX 111�a VAIL, CC3 81658 License: 1.56-$ aesciptivn: add �c��ver tiviring to nev�f dri�eway sno�Fm�lt l�ailer systen� Va3«ation: �8U0.0� aataa�ss�ta+*at**ass�x�xrasxase,esart*ess��srssaasa.as..ss��rkasa.rarts �:���:.SL!MihdA R4� txrtRkx#it�#►►f!!4►MM4#il�f#4si#�fitKifFi<M#i+lYt►+Rfikit*�i�#Ri Flectrical • Sso.oo "i'oral C`ale.ulaced I'ces--=� 553.aa [7R�Fec—._-_5 $a.oo Additiona[fecs--�--_--=� $�.aa Inccsti�atinn----> $Q»00 'i'nfal hcniait f-�ee - 353.OQ 1&'ill C`afl.�......_� $3,Of] E'ayrnents------- � �53.00 �f"(}I-AL f[:ES-} $53.0� IiA1.AiVt'k:1)ll�----.-._..:- $0.�U �+s�ke.t4ktitt+tattf�tt!#t�¢!*tt�!*l.YiiR�#IoMli*t�t�1►tis###itaik��ki*�7!ltit�64i�rit#etf tti#�At#kE###lfaMli�#ii*fi4#�BkR�At*tt#ke#�i#f�iaFA►}R*ki�t##A8##�k##4i+� Apprc��aks: I�em: 06�00 ELECTR�CAL DEPARTME3�'I' 10/3d/2Q�13 c3f Ac��.an: AP Item: i]560(5 FIRE DEPA�ZTMLt3`I" si�s�tx*4►sPrMk�+w�#�xArfriY��i�+�Ml�'iriski#�tRt7+�NM7�����aM#�u�+Aiia�4��i��R#ks�#iiti��it+kfa##++#tf�#►rti##*fsM#RB!#r!*►ii1�*i}tt#*i#s1�is#Ri�#M!#t#t+kRts��R cor��iTia�r� o� aP�r�c�r���s Ccan.ci: 12 [BLD�G. } : F'IELD �NSPECTIL7NS AR� ��QE7'�RED TD CI�3ECK F{�R C{3DE COMFINIAI�CE. i��X�+AS�Ftt�rif*i*a�*fiei++i*++*#+it*r*iilatr*rs+r*fi+**++*t=#s*:*#if#rf#�##s4r4s*swM�sw�trsse.:e.rtasrESass.ws+k�,:trtswetifat+kr*+!�*}t4#+;f4#r�ll*rs#rti DECI.AR.A"l�t�NS I ttereby ackn�w�le�i�e that 1 hav�re�ti 11�is a��lieatic�n, �iI1G�1 aut in full th� ir�fc�r�natioa� required, canlpleteti� an accuratc plot plan. and 4tate tttat all cl�e inCc�rmatic�n as requircd is cQrrLct, i a�ree to e[�m�ly w�ith the ir�f�rm�ati�n anc� plat}�lan, t�cc�mpCy ��ith ali Tow�a ordia�at�ces a�d state I�r��s, a��d tt�b��sld [his str�ccture as�Ct�rding t�the towuns 7cynin�;a.nd subdivisieata c�des, design r�view approved. Uniforrt� Bt�ildiii�Code a��cl ather ard'srt�n�es afthe Town ap�sli�a�6e thereto. r � � KEQUES F�FC)R IdJSPECTfQ1V SIiALL f3E MAC7E TW'Eh7"4'-Ff7[.R HQLIRS IN�1C}V��CE[iY'1 L•L�I'11C1�7F A�`r�•�-`�c�R,aT��]�l,F.�f�'1?1=Rf7A4�:(1(I.a�t.4 PM1+! . t�t � v �� ��NA�-�.��o�owiver��u �r�rt�cro� ir�s�L�A�vn owr��� * � APFtICATIDN�L NC)T 8� ACC�P�'�D IF IIVC{?MPLE�R Uf+I Proj�+cL #: 8r�ii�ling Permit #. �t Ele+�tr�ca! Perrnit #: `� 97(�-47�-�1�i9 (Inspe�tians) �3�Nt�FYA�LL T N V LECTi��CAL P Y PP I N 7� 5. I�r�rir�f.i�e Rci. Vaii, Calaratia 8 57 � Conta�t Ea le C s a �c Tt1-3,2�5-86'4�] ar vr w ot�n �r ce1� �- --- --- _ � _ _�_ . �.�_ __ 1 Parc�! � �(Requ�ire if no hi g. pefmit # 'rs proWided ��tave} 21 t)1 a23(?4�#a2 ]oa r�ame: H�n�z Resi�der�ce - l�riv�ra.� S�lt aa� ad�r�ess: 3130 �3voth Creek I]�r. L�gai aescriptian L�t• Bfack: �Fi��rr � '- ' S�bdivision: TM� � I �' --� _ _�� ` Gwn�:r� �lame; Address �Phvn�: __ []ni�,cc3 Kinc�c�r�rn I,,...� Engineer: � Addr�ss: ---- - _���i�o�e: Getar��.c� des�riptir�n �f+r,r�rk; Ad� er wiring to n�w r]x`iveway Snc�m�e�.t '�ail�` syst�rn � Warft C€ass: Ne�,r� ( ) Additicn { ) R�model {X) R�pair ( } Temp Pcwer ( ) t7Ch�r { } l�Vcark Type: Interoar (�} �x*erior { }_ Bat�t ( ) Gaes an ��ilJ exist at this lac�tian: Ye5 ( } fVo ( } Type oF Bldg.: �ingle-Farr+ily{x) Ou�lex ( } Multi-Family ; ) Comrrser�iai ( � ReSta�r�r7t( } Otl�er �; ] � �la. r�f Exosting E�w�e@ding Units in th�s buifcing: � Nc�, of Ae��rnrn�c�ation l�nits i� thES a�ileJing: Is this perr�ait ��r a hc�t tub: Ye� Na X } �a�s a Fire Alarr�l �xi5t: Yes � X) �o ��es a F;r� S rfnkler S st�t'rt Exist: Yes _h1� X �� �. � � r� v � ) c � �CC?MP�ETE S�Q. F��T F+OR M�1N S�9�L�S a�d VA�llA'T��(3NS F�DR ALL [�T'H�R� (Labvr & Materi�ls) ar�Q��IT oF S� � :lv s�RU�i�U��: � ` ��.E- ��F�iGa� va�ura�I��1: � ��OD.Do !CC?NTRACTCIR INFflRMATION �lectri�al Contract�r: T�w� �f Vai€ Reg, �Va.. ContacC :nd �hQne #`�: Cel 904-5844 '�agle Valley Elect i�„ In� i 55 E 5am �3ishvp �327"-5777_ Cr�ntract+�r 5igr�ature. xx*���+�:��s�����a+.�w*�,��=a��+�r:�,:,�:�Y;����FQR UFFIC� l�S� UI'VLY���,�+,�,����,���*+��s��:�A+�:;�{z�=�a:�:fr��x:�; f]#her�ees: I Date Receivec#. � _ Di�B �ees: � A���pte� B�y: � P#anrrer Si n-o�: �� � F:�eve rya n e/formslele�er rr�