HomeMy WebLinkAboutElectrical Permit Application#2 Signed.pdf Department of Community Development
• • 75 South Frontage Road West
•
TOWN OF VAIL' '.'Tit� a-���97O 8165 0-4C79-2139
-
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 Mufti-Family and Commercial buildings—plans and calculations must be prepared by a Colorado Licensed Electrical Engineer
Project Street Address:
19- /t JP',:0. 'J L .� li_• r. /4'0 Project#:
( umber) (Street) (Suite#)
Building Permit#:
Building/Complex Name: s/. �. I°. _,.Air ...r, ' Electrical Permit 4:
Project Information:
Owner Name: ,i, J rGrf) s. / 1...,� 1f / Lot#: Block# Subdivision:
Parcel# ( 1 Zb a)Z—
(For Parcel#,contact Eagle County Assessors Office at(970)328-8640 or visit Define Scope and Location of Work:
www.eagiecounty.us/patie)
Contractor Information mi bi� /. 4 ' rim et,- _' P 17
Business Name: 1M14)S - t
Business Address:2 - rja _C P.i4.. d -r ; ' 4 Alb,Im 1 .a._
Citywlk State: Co zip: (t -
Contact Name: �jr, p�
Contact Phone: '�-! ) "17Z2—
175(
Contact E-Mail:• %, . ./�it11,.� ,_ ' .4..1 �`� / (u- ..itional sheet if necessary)
I hereby acknowledge that !'a e read this application,filled 1 in full the /
information required,completed an accurate plot plan, and s .to that all
Includes Temporary Service: ( )Yes (1-3-Ito
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 ,;;ro .',-nces of the Town applicable thereto. Other( )
X •
-
Owner/u;wner's 'e, a en ore Signature(Required) - Type of Building: Single-Family( ) Duplex( )
Applicant Information / r Multi-Family( ) Commercial( ) Restaurant( )
, y f Other( )
• Applicant Name: ___ .Jr y, , r
r
Applicant Phone: cep-6@ Provide BOTH square footage of area of work '
`T -7-��p q AND Valuation (Labor&Materials)
05AddApplicant E-Mail: rv144 . '' . , 4 )1,:;•,'.?. r 'r I
,Amount of SQ Ft.: (05---
Additional
itional Authorized '?.jectDox Users i
Full Name: j Electrical$: t oma, 047
E-Mail:
Full Name: Date Received:
E-Mail:
For Mee Use Only:
Fee Paid:
Received From:
•
Cash Check#
CC: Visa/MC Last 4 CC# _ Ruth #
Rev.2015-Dec