HomeMy WebLinkAboutA16-0042.pdf • Department of Community Development
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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:
22 _ West Meadow Drive Project#:
(Number) (Street) (Suite#)
Building Permit#:
Building/Complex Name: Villa Cortina #250
Alarm Permit#:
Lot#: Block# Subdivision:
Contractor Information:
Company: Xssentials
Company Address: 73i] Nottingham Rd Detailed Description of Work: Adding two smoke
City: Avon State: CO zip: 81620 detectors in the bedrooms, replacing a smoke
Contact Name: Rick Harrison detector and installing a carbon monoxide detector
Contact Phone: 970-949-4638 in the main living area.
(use additional sheet if necessary)
E-mail rick.harrison@xssentials.com
Does a Fire Alarm Exist? Yes(•) No( )
Town Dull Con actor egistration filo -
Does a Sprinkler System Exist? Yes( ) No( )
X •
( Work Class:
ContraGtbr 5 gnature(required) NeW t ) Addition( ) Remodel(.) Repair( )
Property Information Retro-Fit( ) Other( )
Parcel#' Type of Building:
(For parcel#.contact Eagle County Assessors Office at 970-328-5640 or yP
visit www eaglecounty.us/pane) Single-Family( ) Duplex( ) Multi-Family(')
Tenant Name: Commercial( ) Restaurant( ) Other( )
Owner Name:
Date Received:
Complete Valuation for Fire Alarm Permit:
$1000.00
Fire Alarm$:
29-May-O9