HomeMy WebLinkAboutE16-0148_2.pdf Department of Community Development
75 South Frontage Road West
TOWN OF UA11 Vail, CO 81657
Tel: 970-479-2139
www.vaiigov.com
ELECTRICAL PERMIT
p Electrical Permit Submittal Requirements Including Heat Tape Installation
C!d`h Floor plan 1 Site plan showing proposed work Occupancy Group listed on plans
, 4 _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:
l ` ` 1)341 G C\ Project it
(Number) (Street) (Suite#) Building Permit#:
Building/Complex Name: I )()00pykAss
Electrical Permit#:
Project Inform\o
Owner Name: jy 601A-17- 1- 0/01A Ph
t 1 4 t � Lot#: Block# Subdivision:
Parcel # t �t 1300 4 �r
(For Parcel#,contact Eagle County Assessors Office at(970)328-8640 or visit Define Scope and Location of Work: 1� rSS-
www.eaglecounty.uslpatie) ._iy�L\r' '� k �� r n
Contractor Information 1 ` v� 1- {
or
Business Name: 1✓ ,t y c►(✓� -i' D I i Gail �� b a 7
Business Address: 0S0 w �g s{A;�-eat Wg' •0A' k"" (Ar Or% � �k
City 1 OCL State: 60 Zip: S (Gap biwr ` "GwL 1111:fl +Contact Name: PI""U`"kms`' S : (gR-_ 1( 'r�-S
Contact Phone: OI 1Co _O 9-1i
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Contact E-Mail: nn. lr bu+ 1 npt�1st additional sheet if necessary)
(' �^-' r ,dt '•`
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 ail
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 zon-ng and subdivision New( ) Addition( ) Remodel Repair( )
code • n revi. ..•loved,International : •ing:nd Residential
Co* .n* the i.•'•- -s of t e To . .• i -•le ereto. Other( )
,1
Owner/Owner's Representative Sint. . e(Required) Type of Building: Single Family( Duplex
Applicant Information Multi-Family Commercial( ) Restaurant(
r� r J Other( )
Applicant Name: �`t"ln
Provide BOTH square footage of area of work
Applicant Phone: 30 3- cis " e)56 0 AND Valuation(Labor&Materials)
Applicant E-Mail: :23Q i'te Amount of SQ Ft.: / 3 ✓
Additional Authorized ProjectDox Users S p O
`` -- JJ } Electrical$: 6 L)6+ •
Full Name:011
l IP✓dE-Maill� 17:0 e, �✓3'1�� 1��
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