HomeMy WebLinkAboutElec.pdf Department of Community Development
75 South Frontage Road West
TOWN OF VAIL Vail, CO 81657
Tel: 970-479-2139
www.vailgov.com
ELECTRICAL PERMIT
Electrical Permit Submittal Requirements Including Heat Tape installation
„Floor plan/Site plan showing proposed work
^Load Calculations and one-line diagram when loads or circuits are being added _BuildipngTyp roup listed on plans
NOTE:For Multi-Family and Commercial buildings—plans and calculations must be prepared by a Colorado Licensed Electrical Engineer
Pr erect Street Address: -
/46,f)S 1'-i _ Project#:
(Number) (Street) (Suite#)
�
�" Building Permit#:
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Building/Complex Name: K.l .C Ctrt0t4- ,0 '
t Electrical Permit#:
ProjectInformation:
OwwnerrName: *f \\ejc,fy`D S(� Lot#: Block# Subdivision:
Parcel# '2463 b f LI 6-7 a22—
(For Parcel#,contact Eagle County Assessors Office at(970)328.8640 or visit Define Scope and Location of Work:
www.eaglecou nty.uslpatie)
Contractor Information d .Y"
Business Name: d?XheQQ Ct CIL C�Nt-if
Business Address: OO�}��` (x}}� -N-
City _State:_ Zip: y_.-t
Contact Name:
Contact Phone:
Contact E-Mail: (use additional sheet if necessary)
I hereby acknowledge that I have read this application,filled out in full the Includes Temporary Service: (: )Yes G.10 No
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, Work Class:
and to build this structure according to the town's zoning and subdivision
codes,design review approved,International Building and Residential New{ ) Addition ( ) Remodel(' ) Repair06
Codes and other ordinances of the Town applicable thereto. Other( l)
X
Owner/Owner's Representative Signature(Required) Type of Building: Single Family( Duplex('
Applicant Information Multi-Family,') Commercial(. ) Restaurant(i )
Applicant Name:
Provide BOTH square footage of area of work
Applicant Phone. 3 tI�j ii ,(p
AND Valuation (Labor&Materials)
Applicant E-Mail: cA-V1X1. oZ sW£ L414 •(An—. /O C.1) 7
- Amount of SQ Ft.:
Fif
Additional Authorized ProjectDox Users
Full Name: Electrical $:
E-Mail:
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