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HomeMy WebLinkAboutB16-0334.pdf WATER NEATER REPLACEMENT PERMIT APPLICATION (Permit fee = standard building fees and design review fee) Project Street Address: _-____._____� __ _._.__._. _ /Z2e2 1/6V//%5 Via.L 10©A 3P . (Number) (Street) (Suite#) Type of Building: Building/Complex Name: One Family( ) Two Family(Duplex) ( ) Project Information: Owner Name: /'e-7-e4 /? / / 7,1 Parcel# 2/O /2 / l g OQ 9,2staw Submittal Requirements: • Joint Property Owner Written Approval Letter for new vent- (For Parcel#,contact eagle County Assessors Office at(970}328-8640 or visit jng (duplex or multi-family HOA) www,eaglecounty.usfpatie] • Two (2) plan sets indicating: Contractor Information • Materials and product cut sheets �� / .4�� • Type of water heater(gas or electric) Business Name: j.QL • Location of water heater adjacent to existing rooms (i.e. Business Address: 21/7� /jf/ 2.4'n 4,W bedrooms, garage, etc.) • Full view elevation photos of exterior venting location City ,t'/Y‘/,te'� State: CC Zip: gQ223 Contact Name: Detailed Scope and Location of Work: 4/4�/�/1. �f�.,/5--1-" Contact Phone: /5),/c '<-<' G'/9-5. .._CO//.-' 1e -'7 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 ordinances and state laws, Valuation of and to build this structure according to the town's zoning and subdivision Work Included Plans Included Work codes, design review approved, International Building and Residential Codes and otl7er_ard+ s e Town applicable thereto. .Building ( )Yes ( )No ( )Yes ( )No K ///)e'K'''.-')wner/Owrsentative Signature(Required)/ Value of all work being performed: $ i 2 2. Lpplicant Information (value based on IBC Section 109.3&IRC Section 108.3) .pplicant Name: ":4‘""--//14--/- W JA/r pplicant Phone: 7242 -- ..3 e// - 7e--7 (r . pplicant E-Mail: dditional Authorized ProjectDox Users Date Received: Ji! Name: Mail: ill Name: Mail: ,e additional sheet if necessary) Office Use Only: Project#: Paid: eived From: Building Permit#: h Check# Visa/MC Last 4 CC# Auth#: Lot#: Block# Subdivision: 2015-Dec