HomeMy WebLinkAboutE16-0046 Application_1.pdf Department of Community Development
75 South Frontage Road West
TOWN OF VAIL a + Vail, CO 81657
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 belr,g 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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[P oject Street Ad rep: _ Project#:
dumber) (Street) ‘7s--
(Sidle#) Building Permit#: _ B 16-0098
Building/Complex Name: GO v --) Electrical Permit#: E16-0046
Project Information
Owner Name: (•/a 4.) Ot.(•JP/c� Lot#: Block# Subdivision:
Parcel# (V ( -0E2 27 `( ) f
(For Parcel#,contact Eagle County Assessors Office at(970)328-8640 or visit Depla Scope and Location ofilyork.
www.eagiecounty.uslpatie)
" (\Ur arrase_ e I. e.c. -,L,..,
Contractor Informati¢n \ - CC L
``- lir) wt tt
Business Name: r
Busin ss dd�e -Zoo/ U (—ID—
i City d ( ,,i f a State( I/ s:q�Zip: � A_ - Pm t (-- .. , ..0. e.
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Contact Name: _� � iiCi h _pw�vs"�' �,�
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Contact Phone: '
Contact E-Mail: 1 . Z in. 0 moo ,`- r (use additional sheet if necessary)
I hereby acknowledge that I have read this ap• kation,filled out in full the Includes Temporary Service: ( "fes ( ) 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 according to t -town's zoning and subdivision New( } Addition{ Remodel( } Repair( )
codes,design revi w.appr ved,interna onal Building and Residential
Codes and o o roan sof - -•• • - thereto. Other( )
X 4a
Owner/Owner's Representative Signature(Required) Type of Bulldin : Single-Family( ) Duplex( )
Applicant Informatio ) ...---- Multi-Family( ) Commercial( ) Restaurant( )
Other( )
Applicant Name: - #,, 0,40T f A A- r
40PProvide BOTH square footage of area of work
i Applicant Phone' I WO r AND Valuation (Labor&Materials)
Applicant E-Mail: 11i!!ri !. _ - al Amount of SQ FL:
Additional Authorized ProjectDox Use Electrical$: � :C:10 _ - _ _
Full Name;
E-Mail I
Date Received:
Full Name:
E-Mail.
For Office Use Only:
Fee Paid:
Received From:
Cash Check#
CC: Visa/ MC Last 4 CC# Auth#
Rev.2015-Dec