HomeMy WebLinkAboutA15-0004_A15-0004_1422042060.pdf �_ 4 y Department of Community Development
75 South Frontage Road
--- _ + i-, , Vail, Colorado 81657
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Fax: 970-479-24524
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FIRE ALARM PERMIT
Commercial and Residential Fire Alarm shop drawings are required at the time of application
submittal and must included information listed on the 2nd page of this form. Application will
not be accepted without this information.
Project Street Address: Office Use:
263 East Gore Creek Drive
Project#:
(Number) (Street) (Suite#)
Gorsuch Buildin Building Permit#:
Building/Complex Name: g
Alarm Permit#:
Contractor Information: Lot#: Block# Subdivision:
Company:
Xssentials
Company Address: PO Box 534 Detailed Description of Work: Add fire protection
City: Avon State: CO zip: 81620 for temporary "pop-up" restaurant.
Contact Name: Ron Davidson
970.949.4638
Contact Phone:
E-Mail (use additional sheet if necessary)
ron.davidson@xssentials.corn
Town o 'I Contra tor Registration No.: 112-S Does a Fire Alarm Exist? Yes(X) No( )
Does a Sprinkler System Exist? Yes (X) No ( )
Contractor Signature(required) Work Class:
New( ) Addition ( ) Remodel (X) Repair( )
Property Information
Retro-Fit( ) Other( )
Parcel#:
(For parcel#,contact Eagle County Assessors Office at 970-328-8640 or Type of Building:
visit www.eaglecounty.us/patie)
Single-Family( ) Duplex( ) Multi-Family( )
Tenant Name: Crespelle Pop-Up Restaurant Commercial (x) Restaurant( ) Other( )
Owner Name:
Date Received:
Complete Valuation for Fire Alarm Permit:
Fire Alarm $: 2235.00
29-May-09