HomeMy WebLinkAboutE16-0009 Department of Community Development
/ 75 South Frontage Road West
T�WN �f �A��# TeL 970 4�9 2139
www.vailgov.com
ELECTRICAL PERMIT
Electrical Permit Submittal Requirements Includinq Heat Tape Installation
_Floor plan/Site plan showing proposed work _Occupancy Group listed on plans
Load Calculations and one-line diagram when loads or circuits are being added _Building Type
NOTE:For Multi-Family and Commercial buildings—plans and calculations must be prepared by a Colorado Licensed Electrical Engineer
i Project qStreet Address: �Q�' 1� ` �v�1(.GC
� p��� ( N �74�� !�!�' Project#: �` / C�J 1�`_�
F (Number) (Street) (Suite#) Building Permit#: � � �i '—d0�
; Building/Complex Name: �I� ��CK-`�l —� �-� Electrical Permit#: � �!� `��� / �—
i Project Information�:! � M
;Owner Name: �( l'i�� � � V���— Lot#: Block# Subdivision:
Parcel# �.(� �J j � � � � �� j'
j(For Parcel#,contact Eagle County Assessors O�ce at(970)328-8640 or visit �; fine Scope and Location of Work:
i www.eaglecounty.us/patie) j /
�.._ �� ��� � ��,�' ��'�1�?" �d�l
�Contractor Information o2 .� ,i
!Busm������� . � ;
; Business Address: � �I �
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�City State: Zip: ,:, °
; Contact Name: � ��d� ��7/
a I Contact Phone: Jd J "' ��J � C� l �/ I',
i ContaCt E-Mail: �1`�TN��u, I�E�1. ��'_" v�G�Vti/C�� �9V�1. I�'�use additional sheet if necessary)
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� I hereby acknowledge that I have read this application,filled out in full the Includes Temporary Service: ( )Yes ( ) No
; information required,completed an accurate plot plan, and state that all N
ithe information as required is correct. I agree to comply with the infor-
� mation and plot plan,to comply with all Town ordinances and state laws, ',Work Class:
d to build this structure according to the town's zoning and subdivision ',New O Addition O Remodel (�epair O
codes,design review appro , ntern ' nal Building and Residential
Code o rdin s of e To n pplicable thereta ' Other O
iX
' Own ner's pr ntative Si ature(Required) II, Type of Building: Single-Family O Duplex O
Applicant Inf rmation �'Multi-Family O Commercial( estaurant O
l��� ��/ �� i Other( )
�Applicant Name: �
{ pp 303 ` �7 8. ��I I 'I Provide BOTH square footage of area of work
,A licant Phone: � I AND Valuation (Labor&Materials)
�Applicant E-Mail: C�5�� �S�L� ����' �I Amount of SQ Ft.:
Additional Authorized ProjectDox Users ,��j v-�
I Electrical$: ���
Full Name:
I
' E-Mail: i
i Date Received:
� Full Name: '"'
i
E-MaiL ` ` �� ' �
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For Office Use Only: � '
�� ��� � ��� �. � Z016 '`
,
Fee Paid: �`
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Received From: � '` -
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Cash Check# -r��� ��= �pi���
CC: Visa/ MC Last 4 CC# Auth # °-
Rev.2015-Dec