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HomeMy WebLinkAboutE16-0090 Application.pdf Department of Community Development 75 South Frontage Road West TOWN OF VAIL A.�, 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 StreetAddre-s: -- � C t fp 53 1'47 G"/ Project#: g/1 CO' (7 0 (ca (Number) (Street) 1 I (Suite#) Building Permit#: 6! -(0 135 Building/Complex Name: Vic ��%UC Cw0 Electrical Permit#: E I LP D D 9 0 Project Information: Owner Name: Lot#: Block# Subdivision: Parcel# (For Parcel#,contact Eagle County Assessors Office at(970)328-8640 or visit Define Scope and Location of Wo : /It OVA www.eaglecounty.us/patie) ' 1;07/7ce YoW-fr (� `p Contractor Information Business Name: �O " �K r Busin Address: V o-l `7tv_ C rc City c 1 e State: C Zip: 8 J 666 ,r S S�a Contact Name: / 0611-^ Y0 U��1 Contact Phone: lq7°) 146`U/r / a75L,9^ Contact E-Mail: i N Ov/c�r(- K a Clll'vkliG'I • Com (use additional sheet if necessary) I hereby acknowledge that I have read this application,filled out in full the Includes Temporary Service: ( )Yes (6No 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 (VI-Repair( ) Codes •/ther dinances of the Town applicable thereto. Other( ) X Type of Building: Single-Family( ) Duplex( ) Owner/Owner' Representative Signature(Required) Applicant Information I Multi-Family( ) Commercial ( ) Restaurant( ) Other( ) Applicant Name: _._._ ...__.. Provide BOTH square footage of area of work Applicant Phone: AND Valuation (Labor&Materials) Applicant E-Mail: Amount of SQ Ft.: 7© Additional Authorized ProjectDox Users Electrical$: � 610 Full Name: 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