HomeMy WebLinkAboutE16-0145 Application_2.pdf Department of Community Development
75 South Frontage Road West
TOWN OF VAILA 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 _Occupancy Group listed on plans
_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:
5/ .P7W 1?-0 7 Project#:
(Number) (Street) � (Suite#) Building Permit#:
-
Building/Complex Name: J`7)2/ p 0`�n 1-C-
Electrical Permit#:
Project Information: J�G//
Owner Name:
�y�¢�/,t/� , L!/' -:t#: Block# Subdivision:
Parcel# ,2I OC/ / c7O 7
(For Parcel#,contact Eagle County Assessors Office at(970)328-8640 or visit Define Scope and Location of Work: 6f/042f
www.eaglecounty.us/patie)
Contractor Information
Business Name: ��
D kt&$SS ED !./f cf-+vS
Business Address: NUJ �X/uihr-i`3T /W tU�1i Its
City State: Zip: P035,Bz-e ,Qe L C1 r7o ry /
Contact Name: ,5.4/ 7?- 78 C‘//l"
Contact Phone:
Contact E-Mail: (use additional sheet if necessary)
I hereby acknowledge that I have read this application,filled out in full the Includes Temporary Service: ((^)Yes ( No
information required,completed an accurate plot plan,and state that all
the information as required is correct. I agree to comply with the infor-
mation and plot plan,to comply with all Town ordinances and state laws, Work Class:
and to build this structure according to the town's zoning and subdivision i- !
codes,design review approved,International Building and Residential New(C) Addition (.,) Remodel (( Repair(C)
Codes and./-r or ' ante n applicable •ereto. Other(fl)
Owner •wner's Represer .tiv,= igndur• (Required) Type of Building: Single-Family(C ) Duplex((
Applicant Information Multi-Family(1-Commercial (C) Restaurant((7)
fir/ Other n)
Applicant Name: / //�i�A � /% L1/i.-4/
Provide BOTH square footage of area of work
Applicant Phone:g�® �-/(� a2 9 AND Valuation (Labor&Materials
Applicant E-Mail liefi M X'c,v' -) dist �+/1J� Amount of SQ Ft.: AA 5b zS er/14
Additional Authorized ProjectDox Users Gp
n „f 1/� Electrical$: �77611)7611)e7
Full Name: l�1T �/✓�/� /`/
. /C K
E-Mail: 'tfh-f7GSC&G,✓��! �a &/M/L.• C-644
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