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Web: www.vailgov.com
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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:
716 Forest Road unit A
Project#
(Number) (Street) (Suite#)
Building Permit#:
Building/Complex Name:
Alarm Permit#:
Contractor Information: Lot# Block# Subdivision:
Company: Xssentiais-rfhul Alarm
Company Address: 730 Nottingham Rd Detailed Description of Work. Adding 3 Smoke'carbon
City: Avon State. CO Zip. $1620 monoxide detectors to bedrooms and a carbon-
Contact Name: Rick Harrison monoxide detector in the kitchen
Contact Phone: 970-949-4638
E-Mail Rick.harrison@xssentials.com (use additional sheet if necessary)
Does a Fire Alarm Exist? Yes (.) Not )
Town of Va- on actor Registration No.:
/"/
Does a Sprinkler System Exist? Yes( ) NoWork Class:
Contra tole Signature(required)
New( ) Addition( .) Remodel ( ) Repair( )
Property Information Retro Fit( ) Other( )
Parcel#: 2101-072-11-015
(For parcel# contact Eagle County Assessors Office at 970-328-$640 or Type of Building:
visit www.eaglecounty usrpatie) Single-Family( ) Duplex(1) Multi-Family( )
Tenant Name• Commercial( ) Restaurant( ) Other( )
Owner Name Alexander Burger
Date Received:
Complete Valuation for Fire Alarm Permit:
Fire Alarm$: 2000 00
2g-May-09
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