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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:
3090 Booth Creek Drive
Project#
(Number) (Street) (Suite#)
Building Permit#.
Building/Complex Name:
Alarm Permit#:
Contractor Information: Lot#: _Block* Subdivision: _
Company Xssentiais/Thui Alarm
Company Address Detailed Box 534 Detailed Description of Work, Installation of new
City. Avon _State: CO zip. 81620 fire alarm system.
Contact Name Rick Harrison
Contact Phone 97q-9194638
E-Mail rick.harrison@xssentials corn {use additional sheet if necessary)
Does a Fire Alarm Exist? Yes ( ) No(•)
Town ofi an sect Registration Nc
7
Does a Sprinkler System Exist? Yes ( ) No( ')
X (
Work Class:
Contractor ignature(required)
New(i) Addition( ) Remodel( ) Repair( )
Property Information Retro-Fit( ) Other( )
Parcel# 2101-023-04-004
(For parcel 4,contact Eagle County Assessors Office al 970-328-8640 or Type of Building:
visit www.eaglecounty.ustpatie) Single-Family(r) Duplex( ) Multi-Family( )
Tenant Name: Commercial( ) Restaurant( ) Other( )
Owner Name Arthur Reimers
Date Received:
Complete Valuation for Fire Alarm Permit
Fire Alarm$: 8000'04
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