HomeMy WebLinkAboutE16-0257 Application.pdf Department of Community Development
75 South Frontage Road West
TOWN OFVAIL Vail,Co 81657
Tel:970-479-2139
www.vallgov.com
ELECTRICAL PERMIT
Electrical Permit Submittal Roautrem.ms Inciudina Heat Taco Installation
_Floor plan/Site plan showing proposed work Occupancy Group listed on plans
_Load Calculations and one-line diagram when loads or circuits am being added _Building Type
NOTE:For Multi-Family and Commercial buildings--purrs and calculations must be prepared by a Colorado Licensed Electrical Engineer
Project Street J' Q
! 4
1i-2 i-'1 �hEt4 k9 FZ i VAI L. `Ota Project t. ill,�jf
(Number) (Street) (Suite 5) Building Permit* io-0500
I Building/Complex Name: -11 kV1 k� l'"> t�S GG
Electrical Permit t e La— tel
project trdormatio6L-G. Hev,Di N 6S 1.L C-
rine s Ac t e. (la coy_ LL Lot#: Block# Subdivision:
2ED1 - 12q— II -0010 ' {'
(For Parcel I,contact Eagle County Assessors Office at(970)321-1440 or visit Iji oc1Q@ and LoC9bOn of YI�Dfk
i 1
vrew.eaglecounly.us/patie)
contractor information
i\'Ett) GLEC-112t( PAneL
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Business Name:
BusinessAddress:079cl (s,.woup 9Aoj /l.10l,J L-f7'�G ( �,.'�f1d
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City 61123"' State: A' Zip_ 143 ti
Contact Name: arv.„r 5,,c111111,
contactPhone: arta 340 41.3-1‘
Contact E-Mail: S
w b vier t��, curl �,r (use additional sheet If necessary)
1 hereby acknowledge that I have read this application,filed out in ful the *Kb**Temporary Sermfii Yes 04 No
information required.completed an accurate plot plan,and state that all
the information as required is cornea. I agree to comply py with the inior-
ration and plot plan,to comply with as Town ordinances and state lava, ortr VOW
and to build this structure according to the town's zoning and subdivision New(0) Addition(ta Remodel(j$} Repair(0)
codes,design review approved,International Building and Residential
COdes
I �nermoes�time Town applicable tlmerel0. Oth�(0)n�Rl�/Ownees Representative Signature(Required) Poe of Blanding': Single-Family(Q Duplex(Q
Applicant Information Multi-Family 0 Commercial 0 Restaurant 0
Other C
Applicant Name: - --__ _.
Provide BOTH square footage of area of work
Applicant Phone: 1M_IQ Valuation(Labor&Materials)
Applicant E-Mail: sorkf 4.00
Additional Authorized ProjectDox Users 0111142400o.00
Full Name:
1 E-Ma1L -—
Full Name: I Date Received:
E-Malt:
or 1Eci OaW7- - -- -
Fee Paid:
Received From:
Cash Check#
CC: visa/MC Last 4 CC S Auth S
Rev.2015-Dec