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HomeMy WebLinkAboutE16-0136_2.pdfDepartment of Community Development 75 South Frontage Road West Vail, CO 81657 Tel: 970-479"2139 www.vailgov.com ELECTRICAL PERMIT Electrical Permit Submittal Requirements Including Heat Tape Installation _Floor plan I Site plan showing proposed work _Load Calculations and one-line diagram when loads or circuits are being added _Occupancy Group listed on plans _Building Type NOTE: For Multi-Family and Commercial buildings-plans and calculations must be prepared by a Colorado Licensed Electrical Engineer Project Street Address: ts--;w s~s-r~ ~ (Number) (Street) (Suite #) Building/Complex Name: €11 CVZ--CAAJ rt S Project Information: ~ M ~ Owner Name: C1 J-r !f. t & r'-~ Parcel# '2.\ O ~\ tD SD 03- (For Parcel#, contact Eagle County Assessors Office at {970)328-8640 or visit www.eaglecounty.us/patie) Contractor Information ' Business Name: _Tr;~(Z-t---"-~F4"'-""--'"""----'-N--"'-" ...... 61"-'-":ZUU-=<="'-..... <_.,_1 ___ _ Business Address:----------------- City __________ State: ___ Zip: ____ _ Contact Name: ------------------ Contact Phone: __ '1~18--=--___,G~B=......g_...._C?..,._8___,67~----- Contact E-Mail:------------------ I hereby acknowledge that I have read this application, filled out in full the 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, and to build this structure according to the town's zoning and subdivision codes,. design revie roved, International Building and Residential C ant:l-oth dinance of the Town applicable thereto. x~~~~-"'---=--------­o w n e \'Owner's Representative Signature (Required) Applicant Information . ApplicantNanie ~ \:"~"f. App!Jcant Phone: ~ ~ __m.g ApplicantE-Mail: ~@ l-f~-~.~ Additional Authorized ProjectDox Users Full Name: ------------------- E-Mail:, ____________________ _ Full Name: ------------------- E-Mail: ____________________ _ For Office Use Only: , l l ~ 1 ")U Fee Paid:------------------ Received From:--------------- Cash Check# ___ _ CC: Visa / MC Last 4 CC # ___ _ Auth# ___ _ Rev. 2015-Dec Project#:------------------ ' Building Permit#:-----------~--- i..,./. I ~ --o 1" 77 . • Electrical Permit#: L/ KJ ~ -------------- Lot#: Block# Subdivision: _______ _ Define Scop~ and Location of Work: _______ _ ~ ~1$ ~ WL--C.o-;£) lS (use additional sheet if necessary) Includes Temporary Service: ( ) Yes ! Work Class: ! New ( ) AdditionY' Remodel ( ) Repair ( ) Other ( ) ______________ _ Type of Building: Single-Family ( ) Duplex ( ; Multi-Famil~ Commercial ( ) Restaurant ( i Other ( ) · l~~~~~~~~~~~~~~~~~~~~~=-<-i ~ Provide BOTH square footage of area of work fi AND Valuation (Labor & Materials) I Amount of SQ Ft.: __ l_l_,,C.'""D~---------­ Electrical $: I ;J $o-O ~©~~w~ n JUL 05 2016 U TOWN OF VAIL