HomeMy WebLinkAboutElec permit app.pdf ?•x Department of Community Development
•
75 South Frontage Road West
TOWN OF VAIL ' Vail, CO 81657
Tel: 970-479-2139
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 Multi-Family and Commercial buildings—plans and calculations must be prepared by a Colorado Licensed Electrical Engineer
Project Street Address:
f 7G/ � ' fee k Project#:
(Number) (Street) / (Suite#) Building Permit#:
°I
Building/Complex Name: Lr',47- 3 Electrical Permit#:
Project Information:
Owner Name: Lot#: Block# Subdivision:
Parcel# ?i Z( t)'.Z 9-i O
(For Parcel#,contact Eagle County Assessors Office at(970)328-8640 or visit Define Scope and Location of Work: / /1 Sd r 1
www.eaglecounty.us/patie)
l+ r /n
Contractor Information (t) � 11 �� ' � �
Business Name: 4k ,,oei-/)iG
Business/Address:?c D,-,,x
City O f)U\ State:_CL£ Zip: ,401
Contact Name: ?p k(fes
Contact Phone:
ei'NU/y , �� (use additional sheet if necessary)
Contact E-Mail: eikke/e!�(/'iG
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I hereby acknowledge that I have read this application,filled out in full the Includes 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, Work Class:
and to build this structure according to the town's zoning and subdivision New Addition Remodels air
codes,.desjg,[> -.prove , !Mal-Building and Residential ( ) ( ) Remodelpair )
Codes and o er y.inances oft T n applicable thereto. Other( )
X • Type Single-Family
Owrie f ner's Representative Signature(Required) yp of Building: ( ) Duplex( )
Applicant Information Multi-Family(4-Commercial ( ) Restaurant( )
Other( )
Applicant Name: _ _
Provide BOTH square footage of area of work
Applicant Phone: AND Valuation (Labor&Materials)
Applicant E-Mail: Amount of SQ Ft.: 67)
Additional Authorized ProjectDox Users Electrical$: a5C6ffi�
Full Name:
E-Mail:
Date Received:
Full Name:
E-Mail:
For Office Use Only: )
Fee Paid:
Received From:
Cash Check#
CC: Visa/ MC Last 4 CC# Auth #
Rev.2015-Dec