HomeMy WebLinkAboutE16-0047 Application_1.pdf Department of Community Development
75 South Frontage Road West
Vail, CO 81657
TOWN OF VAIL l Tel: 970-479-2139
www.vailgov.com
ELECTRICAL PERMIT
Electrical Permit Submittal Requirements Including 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
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Project Street Addres -
iDO Ili ft i _Q_ 6 9 li Project#:
(Number) (Street) l,,ite#) Building Permit#: B16-0099
Building/Complex Name: A cj f�l-�L#, Electrical Permit#: El 6-0047
Project in q: r'S-e I,L.
Owner Name:me: or N Lot#: Block# Subdivision:
Parcel# a ! 0 - - . � I`
(For Parcel#,contact agle County Assessors Office at(970)32848640 or visit Def ne Scope and Location of Work:
enmeaglecounty.us/patie) � JJ
Contractor Information 1. -/k e 4,t_
i GO ll t.)
Business Name: ,.
Business Add ss: U, i 1 c) Ur CP f 1 r' r Irv, r f OA.)
1 •
C€ty Va i State: CO Zip:
Contact Name: _Jo r7 7Ut Ce,v
Contact Phone: -
Contact E-Mail: 1 r {use additional sheet if necessary)
i I hereby acknowledge that 1 have read this application,filled out in full the Includes Temporary Service: (v'Yes ( ) No
information required,completed an accurate plot plan,and state that all
the 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:
and to build this structure accords to the town's zoning and subdivision New( ) Addition Remodel( ) Repair( }
codes, design review approv In a+iri_nal Building and Residential
Codes er dinances o Town applicable thereto. 1 Other( )
iX r 4 art i ~� — ......
Owne Owner's Representative Signature(Required) Type of Building: Single-Family( ) Duplex( )
Applicant Information Multi-Family{Commercial( ) Restaurant( )
Other( ) 1
Applicant Name: .,- s
Provide BOTH square footage of area of work
Applicant Phone: ' 1 AND Valuation (Labor&Materials)
Applicant E-Mail: . . ..- -.1 Amount of SQ Ft.: 1 Ca
Additional Authorized ProjectDox Users ��
Electrical$:
Full Name:
E-Mail:
Date Received:
Full Name:
E-Mail:
Far Office the Only:
Fee Paid:
Received From:
Cash Check#
CC: Visa/MC Last 4 CC# Auth# _
Rev.2015-Dec