HomeMy WebLinkAboutE16-0227.pdf Department of Community Development
75 South Frontage Road West
TOWN jN Vail, CO 81657
Tel: 970-479-2139
www.vaiigov.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-fine diagram when loads or circuits are being added _Building Type
NOTE: For Multi-Family and Commercial buildings—plans and calculations must be pr:pared by a Colorado Licensed Electrical Engineer
Project Street Address:
t ,?T r C iwA,Ik3 Proj-ct#:
(Number) (Street) (Suite#) BuifFing Permit#:
Building/Complex Name: W-1----2e--
tt"-- - Ele.tical Permit#:
Project Informat�n: 1 ( 4.
Owner Name: Icer�- ! eAt Lot °: Block# Subdivision:
Parcel# D- i U i I DD-- -76 0 -
(For Parcel#,contact Eagle County Assessors Office at(970)328-8640 or visit De-ne Scope and Location of Work:
www.eaglecounty.uslpatie) )
Contractor Information 0
Business Name: . c "PICe---�1r�Z,
Business Address: '{' --TAV C-0-4=1:76---- i i VI t (C1&1C1 Bill ems.ri4j-c-__S
City i l Coti-P--)) State: C 0 Zip: 11,3� J
Contact Name: k e-5 F�
Contact Phone: qI---�0 l o t — V.)-
Contact E-Mail: r AI Fr C, U6 - co)..{j c . C14 (use=dditional sheet if necessary)
I hereby acknowledge that I have read this application,filled out in full the Incl des Temporary Service: ((----)Yes )No
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, Wor Class:
and to build this structure according to the town's zoning and subdivision NeW - Addition Remodel Re I
codes, design re iew approved,International Buil ' g and Residential { ) ( pair(( )
/Codes 7e rd" antes.o Town appli a hereto. Qth-r(c)
X �y 'l/. ;
OwnerlOwner's Representative Signature(Required) TYp of Building: Single Family(( Duplex{( l
Applicant Information Multi Family(C) Commercial(() Restaurant(
.Oth- C') 1
Applicant Name:
Pro ide BOTH square footage of area of work i
Applicant Phone: AND Valuation(Labor&Materials)
n
� y.
Applicant E-Mail: Amo nt of SQ Ft.: (goo
Additional Authorized ProjectDox Users ur.-
Elect ical$:
Full Name: j
i
E-Mail:
Full Name: Date Received:
E-Mail:
For Office Use Only:
Fee Paid:
Received From:
Cash Check#
CC: Visa/ MC Last 4 CC# Auth #
Rev.2015-Dec