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HomeMy WebLinkAboutB16-0333.pdf amm WATER HEATER REPLACEMENT PERMIT APPLICATION ` (�< (Permit fee= standard building fees and design review fee) Project Street A dress: _11,417-47:54 ,4ca (-2cTae,r6av /2 (Number) (Street) (Suite#) Type of Building: BuildinglComplex Name: One Family( ) Two Family(Duplex) ( ) Project Information.: /Y �+ Owner Name: f -- }Ye'e2 Parcel# ,2 f f / 2 2 /e.'2 .7 Submittal Requirements: f • Joint Property Owner Written Approval Letter for new vent- (For Parcel#,contact Eagle County Assessors Office at(970)328-8640 or visit ing(duplex or multi-family HOA) www.eaglecounty.us/patie) • Two(2)plan sets indicating: Contractor Information • Materials and product cut sheets �"'f • Type of water heater(gas or electric) Business Name: �/L? ./ •=4C72.171:17:47?-A"' • Location of water heater adjacent to existing rooms (i.e. Business Address: 2 1175 4/ Z/7/0 bedrooms, garage,etc.) • Full view elevation photos of exterior venting location City k'4,' "L State: _Zip: '? 3 Contact Name: Detailed Scope and Location of Work: /' '.� Contact Phone: 4f,76i2Ce- XIACC, ji G ,50/ /5ftev-- Contact E-Mail: I hereby acknowledge that I have read this application,filled out in full the ,(use additional sheet if necessary) 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 orc,nances and state laws, Valuation of and to build this structure accord •• • •wn's zoning and subdivision I Work Included Plans Included Work codes, desi • d 1. national Building and Residential Code d©tlu ordi a s " e Town applicable thereto. Building ( )Yes ( )No ( )Yes ( )No X Owner/Owner's Representative Signature (Required) � r/7 Value of all work being performed: $ i Applicant Information (value based on IBC Section 109.3 a IRC Section 108.3) Applicant Name: ,{ -Zf1y / / 44- 4?' : Applicant Phone: 7 Applicant E-Mail: :Additional Authorized ProjectDox Users Date Received: Full Name: E-Mail: Full Name: E-Mail: (use additional sheet if necessary) For Office Use Only: Fee Paid: Project#: Received From: Building Permit#: Cash Check# CC Visa!MC Last 4 CC# Auth#: Lot#:_Block# Subdivision; 2015-Dec • Sketch by Apex teiedlnao