HomeMy WebLinkAboutE16-0206.pdf 4w`"-:'•- Department of Community Development
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{� ,` �7 • — 75 South Frontage Road West
• Vail, CO 8657
TOW OF Val
. '' Tel: 9Th-479-213g
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ELECTh:IICAL PERI A IT
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 EIectrical Engineer
ProjectStreet.AAddress: L
-9�7y tr, /?/lieu/x//-11 L(S di. `6 a® Project#:
(Number) (Street) .�! v� (Suite#) ' Building Permit 1 6 —0 Lf 0-7
Building/Complex Name: Z"z eJ c t Gzr CO/�1,�0 �`
Electrical Permit#: f U
Project Information:
Owner Name: A<<,sl /#/ y,`lAcivAi 7-,z vs1~: Lot# Block# Subdivision:
•
Parcel# Z/o/ -- /23- def'- edd � � .�
(For Parcel#contact Eagle County Assessors Office at{97D)328--864D or visit Define Scope and Location of Work:
www.eaglecouuty,us! elle
p ) _ --- Pot/ ,fir-,4<< -/4.0001. ee, /4
Contractor lrrformationf C .�y� �,� �/3 / � � lC�� t �,�
Business Name:4/' C t G C/'IC
/go/W(2 3 •i.ew 1-#tier_ e
Business Address:
City State: Zip: h/'• /f (r
12,.)
Contact Name:c/0/`A.." '6; 'ISS •
� v
Contact Phone:
Contact E-Mail: (use additional sheet if necessary)
I hereby acknowledge that I have read this application,filed out in full the Includes Temporary Service: ( )Yes ( ) No
information required,completed an accurate plot plan,and state that all
the information as fuired is correct. l agree to comply with the infor- 1
mation and plot n,to comply with all Town ordinances and state laws, Work Class:
and to build . 4• -according to the to ' •• ing and subdivision New NAddition Remodel�{ Repair
codes,-d- .•• •;''_"•'t- -r•.:::•-.'•,,• and Residential O ( ) 3n p { )
Codes an.o#h -s of the • .•applica. - there •. Other( ) .
I
• _ Dvme f ner's epresen -I e gn$ re(Required) - Typ • Building: Single-Family( ) Duplex( )
App cant Information //�� al Multi Family P% ammercial( ) Restaurant( )
�iFiF/JD� �Other()
A frcarrt)Marne: i—
�, ���_ Provide BOTH square footage of area of work -
Applicant Phone: 7- /AMID Valuation(Labor&Materials)
Applicant Mail i . I-' - r •mount of SQ Ft.: fo SQ• F7
r
Additional Authorized ProjectDox Users9 I.CG ot. ;Electrical$: 5+o Q Q
Full Name:
E-Mail:
Date Received:
Full Name:
,-----:-----.3_1=Mail:
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For Office Use Only: 1 I
Fee Paid: SEP 2016
Received From:
Cash Check# TOWN OF [)
AIL
CC: Visa/MC Last 4 CC# Auttl#
Rev.2015-Dec