HomeMy WebLinkAboutE16-0187_1.pdf Department of Community Development
75 South Frontage Road West
� .: _ Vail, CO 81657
TOWN OF VAIL 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:
i 5/6 z & -e.gO 1 1 Project#:
(Number) (Street) (Suite#) Building Permit#:
Building/Complex Name: Electrical Permit#:
Project Information: �/ p
Owner Name: ��Ips �'Jcx(n K;rkr#rcr Lot#: Block# Subdivision:
Parcel# 71eg ,Zy-b3-06Z
(For Parcel#,contact Eagle County Assessors Office at(970)328-8640 or visit Define Scope and Location of Work:
www.eaglecounty.us/patie)
Apt) cepleid -TV
Contractor Information
Business Name: Le.,eiter
Business Address: Po &DA 77-7Y
Cityee---�)A1 1� State: Co Zip: R/637
Contact Nlame: 14-(=t10 k Late(
Contact Phone: 970 390'b 9V/
Contact E-Mail: Lidere/eth.r e_ey �t
, 0• �� (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,corn•eted an accurate plot plan,and state that all
the information as re. ' _• is corr- t. I agree to com.ly with the infor-
mation and plot plaij comply all To . *-ces and state laws, Work Class:
and to build this -•cture< •-.•• o ''v zoning and subdivision F
or �, New( ) Addition( ) Remodel (x) Repair( )
codes,.des' °ew�.•.�•+ uPd • - %fF••••�- Building and Residential
Codes a Jam: - •u. ces of -,of applica.e thereto. Other( )
� Type ( ) pof Building: Single-FamilyDu lex )
wner/O r's Representative Signature(Required)
Own
e
Applicant Information Multi-Family( ) Commercial( ) Restaurant( )
Other( )
Applicant Name: - ---
h Provide BOTH square footage of area of work
Applicant Phone: AND Valuation (Labor&Materials)
Applicant E-Mail: Amount of SQ Ft.: ZD
Additional Authorized ProjectDox Users
Electrical$: Oc
Full Name:
E-Mail:
Date Received:
Full Name:
E-Mail:
For Office Use Only:
Fee Paid:
Received From:
Cash Check#
CC: Visa/MC Last 4 CC# Auth #
Rev.2015-Dec