HomeMy WebLinkAboutA14-0013 `��"� � ,�� ''-�:� Department of Community Development
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— � �' , 'Tet: 970-47`9-2128.
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FIRE ALARM PERMIT
Commercial 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:
193 Gore Creek Drive PRJ14-0109
Project#:
(Number) (Street) (Suite#)
Building Permit#: 814-0078
Building/Complex Name: Gore Creek Plaza
Alarm Permit#: A14-0013
Contractor information: Lot#: Block# Subdivision:
Company: Xssentials by Thul Electronics
Company Address: PO Box 534 Detailed Description of Work: Install fire alarm deviCes
City: Avon State: CO Z�P: 81620 for elevator recall.
Contact Name: Ron Davidson
Contact Phone: 970.949.4638
E-Mail ron.davidson@xssentials.com (use additional sheet if necessary)
Town of Vai ontr ctqr Re istration No.:
112-S Does a Fire Alarm Exist? Yes (r) No( )
/ � Does a Sprinkler System Exist? Yes (r) No( )
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X � -- Work Class:
Contractor Signature(required)
New( ) Addition ( ) Remodel ( ) Repair( )
Property Information Retro-Fit(�) Other( )
Parcel#: 210108213017
(For parcel#,contact Eagle County Assessors Office at 970-328-8640 or Type of Building:
visit www.eaglecounty.us/patie) Single-Family O Duplex O Multi-Family O
Tenant Name: Commercial (r) Restaurant O Other O
Owner Name: Gore Creek Plaza LLC
Date Received:
Complete Valuation for Fire Alarm Permit:
Fire Alarm$: 2700� Received
T��N�� �F U���_ By Carolyn Godfrey at 12:37 pm,Apr 22,2014
YP
?9-May-09