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HomeMy WebLinkAboutE16-0049.pdf C P___ Department of Community Development 75 South Frontage Road West Vail, OF VAIL °. Tel: 7o77O9is 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 Project Street Address: 24 7 t 1.� r�dI Project#: (Number) (Street) (Suite#) Building Permit#: Building/Complex Name: Electrical Permit#: Project Information: Owner Name: ��iw , ]� 1 .c.– Lot#: Block# Subdivision: Parcel# 2--k.ti ( 1 -r)I C7 tEE (For Parcel#,contact Eagle County Assessors Office at(970)328-8640 or visit Define Scope and Location of Work: aglecoun% - y� _ ( actor Information �( lC 1��t �, LS ' � �' Business Name: A. l r/ ��4 ') 01-7-1--t) . t lam' ) Business Address: r/1._ (,L2 Li. City V Vk,,L/ s . -: ` . Zip: P Contact Name: F i' F,.:Z'-'�l Ute.>. Contact Phone: CI-V) " 1 2 (use additional sheet if necessary) Contact E-Mail: I hereby acknowledge that I have read this application,filled out in full the Includes Temporary Service: (..)Yes (-1'Fo 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 the town's zoning and subdivision codes,design review approved,International Building and Residential New( ) Addition(' ) Remodel(:-Repair(' ) Codes and r • ces of the Town applicable thereto. Other( ) Owner/ per's Represent a Signature(Required) Type of Building: Single Family(/Duplex(( Applicant Information Multi-Family( ) Commercial( ) Restaurant( ) Other t ) Applicant Name: " �'' ... v_ ,.- fProvide BOTH square footage of area of work Applicant Phone: l__�[ )6,.. ----5---t—"22–"2_-)Z AND Valuation(Labor&Matelriitatls) Applicant E-Mail: `�l,(� 6/( v,v,I ��--1/t("l`1.(( ct 0 i f"� ��_ W'� Amount of SQ Ft.: ��V Additional Authorized ProjectOox Users Electrical$: 1/ , (7t7 Full Name: laa. P E-Mail: - Date Received: Full Name: E-Mail: For Office Use Only: E © _ n/7 Fee Paid: D V Received From: Cash Check # ' hri< 1 2 2016 CC: Visa/MC Last 4 CC# Auth # '' Rev.2015-Dec p_ TOWN CF VAIL ..n ._