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HomeMy WebLinkAboutE16-0239_1.pdf Department 5 ofSouCothmmunityFrontage DevelopRoadmWentest. TOWN OF VAIL (C-C1N.)' ��// Vail, co 81657 www / 7Tel; 970-4 .valig79- ov.2139com ICAL PERMIT Electrical Permit Sjibmittal i'.eaulretrient<s Includine Heat Tare 1nstallatioq _Floor plan/Site plan showing proposed work Occupancy Group listed on plans Load Calculations and one4ine diagram when loads or circuits are being added Buikfing Type NOTE:For Mufti-Family and Commercial kgs--plans and calculations must be prepared by a Colorado Licensed Electrical Engineer Project Street Address: ,8o VJ Jt- lirl t,I/ ia ,icz-/A , Protect it (Number) (Street) (Suite#) Budding Permit#: --a — v cfcc Building/Complex Name:EgtelK7 L 7-C .', —t:'L.'4 Electrical Permit*: eij; ` O g-2-21 . Project Information: Owner Name: Lot#. Block# Subdivision: L Parcel* 2 tO - Qty- at -cy,q - 0 � County Assessors Mica at tgTatszsasao Of r Define Scope and Location of.Work 0.' (i . v`,,: 4\ �'N�+n\ ,'.-U'i'41y,a}a+� . 1Jt Contractor Information -, �v v � t' 7� ',iU, L, f� .Zi v.r,' Business Name: T 1uvL4Lr- �'t'1 l( el C1.-v-, , , . BusinesAddress: iLi!� `j; ti l- r-1' „1„,,,,,_,\_, ,,, , , c),„ 1._,,,,, L; vw}i; ' City ., i `s State: r 0 Zip: U t z,(-) Contact Name: :'"-% Ye ,, rt r� Contact Phone: t i Tit ) ,-,-,y)(... 1 7 37Lt Contact E-Mail: t l�) �,(� !,j iJ 1 ''�n fsy (use additional sheet t;necessary} I hereby acknowledge that I have read this application,filled out in full the Includes Temporary Service: (r)Yes (1)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 taws, 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(t ) Remodel(D/ Repair(� ) Codes a e kirdinances of the Town applicable thereto. Other(t—) X 4-947) Type of Budding: Single-Family(r! Duplex(C) Owner/ er's�ntative Signature(Required) Applicant Information Multi-Family 0Commerdal l) Restaurant() K-412-- ---&1( Other C) Applicant Name: ,' it y Z- Provide BOTH square footage of area of work Applicant Phone: ""?----2‘..)-e,- ,- 0 56 y AND Valuation(Labor 8 Materials) J K pE �Z t�Ai� I Applicant E-Maims. � Amount of S+?Ft.: B�J Additional Authorized ProjectDox Users C Al All--W/7/I Electrical$: 'v ,:h°'� Full Name: E-Mail: Full Name: Date Received: E-Mail: ((�� For Office Use Only: D [ © � _ W rc' Fee Pald: Received From: OCT 2F, 2016 I) Cash Check# CC: Visa/MC Last 4 CC#_ Auth # �" i Rev.2015-Dec TOWN OF VAIL