HomeMy WebLinkAboutE16-0186.pdf x=1.
%€':;,' Department of Community Development
f - 75 South Frontage Road West
_ 'Vail,CO 81657
TOWN O 1 L ` ' Tel; 970.479-2139
www=vailgov.com
ELECT,*:11CAL PER'/1T
EIectrical Permit Submittal Requirements Including Heat Tape Installation
__,Floor plan I Site plan showing proposed work Occupancy Group listed on plans
_Load Calculations and one-line diagram when loads or circuits are being added Buifding Type
NOTE:For Multi-Family and Commercial buildings—plans and calculations must be prepared by a Colorado Licensed Electrical Engineer
Project Street Address:
7�,(5". /N' [6,t1.`>( CC tj ) `(r
Project#
(Number) (Street) (Suite#) ` Building Permit#:
Building/Complex Name: 2t 1 4 \\-C/`-J Electrical Permit#:
Project Information: L—7 ii .s-c- Or—) "TN C.,
Owner Name: (_ -.. I.' A ,a : Lot#: Block# Subdivision:
Parcel# 9.t t„) -% ,2 2 s .
(For Parcel#,contact Eagle County Assessors Office at(970)328-8640 or visit Define Scope and Location of Work:
www.eaglecourr y.uslpatie)
Contractor Information
//�' ,—� I cy' r L w/ f. A� i f —k C (y IA C\
Business Name:( .(3• .c 1 eCr f \�—
Business Address: " b
1` C`( 9 y 3 N xP C6-\611---- A---›
City tjJll:v\- State: cZip:�S `
\6Q?
Contact Name: v\-&-.._.) e_ ��'c1)t' .4 C,. 0*-i tA.,N 1 ie ( / (�t.'(
•
Contact Phone: '7 "O[O ` OY.5-S"- toA- -��i,t,.=.��
(co.
(,�i ,\ (use additional sheet if necessary)
Contact E-Mail: (!'`J S e\ ‘I S' -t C�..i Q+ A 1•(
ci
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 infer- I
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 Remodel Repair
codes,-design review approved,InterrQ(iationaI Building and Residential ( ) ( ) ( )
Cod and
�other ordinances of theesz T01101 applicable thereto. Other( )
�' `en e - Type of Building: Single-Family( ) Duplex( )
Owner/Owner's Representative Signature(Required)
Applicant information `Multi-Family Commercial( ) Restaurant( )
j Other( ) -
- Applicant Name: -
- I Provide BOTH square footage of area of work
Applicant Phone: 5iAND Valuation(Labor&Materials)
Applicant E-Mail: Amount of S Ft.: /Can
Additional Authorized ProjectDox Users
Electrical$: /14>i COO
Full Name:
i
E-Mail:
Date Received:
Full Name:
E-Mail:
For Office Use Only: 1...,Fee Paid:: ' " 2016 IL)
5cd 1 `
Received From:
Cash_ __——_ Check#
cc: Asa f MC Last4 CC# Auth# �f`,\A \1 i""'t �,/ f.t i
Rev.2015-Dec ___�