HomeMy WebLinkAboutE16-0190_1.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 _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
Proj ct Street Address:
IthPQelo-u lvvZ hi Project#:
(Number) (Street) (Suite#) Building Permit#:
Building/Complex Name: �U I.?//-2---45
Electrical Permit#:
Project Information:
Owner Name: Tall ay;v ) L LL( Lot#: Block# Subdivision:
Parcel# ' I( ) —OR:2_--q zj -G� J
(For Parcel#,contact Eagle County Assessors Office at(970)328-8640 or visit Define Scope an Location of Work:
www.eaglecounty.us/patie)
AACt. Pao /4)h/ft _i
Contractor Information
Business Name: povti-e)r 6u
Business Address:
City State: Zip:
Contact Name:
Contact Phone:
(use additional sheet if necessary)
Contact E-Mail:
I hereby acknowledge that I have read this application,filled out in full the Includes Temporary Service: (C)Yeso
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 g,
codes,design review approved,International Building and Residential New(r) Addition(C) Remodel((I?V Repair(C)
Codes and other ordinances of the Town applicable thereto. Other(C) Y"
X
Owner/Owner's Representative Signature(Required) Type of Building: Single-Family(C Duplex
Applicant Information Multi-Family(( Commercial(C) Restaurant(C)
C Other C)-) °
Applicant Name: `,�
Provide BOTH square footage of area of work
Applicant Phone: AND Valuation(Labor&Materials)
Applicant E-Mail: Amount of SQ Ft.: 025 L ()
Additional Authorized ProjectDox Users Electrical$: /3 oro ,
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