HomeMy WebLinkAboutE16-0190.pdf Department of Community Development
11C1
75 South Frontage Road West
TOWN OF VAtL 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 being added _Building Type
NOTE:For Multi-Family and Commercial buildings—plans and calculations must be prepared by a Colorado Licensed Electrical Engineer
Proict eet Address: /
t,1,9,11,vA. C.t 4 ")./e. f�r )1 r. Project#:
(Number) (Street) (Suite#) Building Permit#:
S
Building/Complex Name: 'I 7)`'`-4 E16-0190
Electrical Permit#:
Project Information: ' t �
Owner Name: 'Oak fY a i L.-L (--- Lot#: Block# Subdivision:
;Parcel# 2-Il) 1 -6)P; -• -- I
(For Parcel#,contact Eagle County Assessors Office at(970)328-8640 or visit , Define Scope an Location of Work:
www.eaglecounty.us/patie) Alki-t Pi caf
1.fi'rj
Contractor Information
Business Name: A` i _ bz— tC p
00 No 4/- ----f--- .‹."5-tv tila,-0. 7 ,
Business Address:
City State: Zip:
j Contact Name: 'H N1d t4�JJ
Contact Phone:
Contact E-Mail: I(use additional sheet if necessary)
I hereby acknowledge that have read this application,filled out in full the Includes Temporary Service: (C)Yes (A)ilo
information required,completed art accurate plot plan,and state that all r,
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, I Work Class:
and to build this structure according to the town',,zuy, g and subdivision
codes,design •, ntematio - = and Residential (New(C) Addition(C) Remodel( `' Repair(C)
Codes and othef• - '- • of the Town a,,, •=•-- thereto. Other(C) '
Owner/ nes Representative Signature Required) / Type of Building: Single Family(C Duplex(t'_,
App ant Information 0 7�- x` ,Multi- Family({} Commercial(CC Restaurant(() '
Other T) f
Applicant Name: 5/„ m „....mr.-..... .4.4, .�.,.-_ .MOW'.9..•.-- ....„..._�,_
Applicant Phone: ,Provide BOTH squar• •••,,•• • - ea of work
pP 'AND Valuation( .•or&Materials)
Applicant E-Mail:
`Amount of S• Ft.: i "' .
Additional Authorized ProjectDox Users _
Electrical$: ,iff ,
Full Name:
E-Mail: T_
Full Name: Date Received:
E-Mail:
Ftir-OfflieTTse Only: __._.___...__ _ 1p ll Q �o
Fee Paid: .
9q - RECEIVES
Received From: By cgodfrey at 8:22 am, Sep"1'S►, 20_1e
Cash Check
CC: Visa/MC Last 4 CC# Auth#
Rev.2015-Dec