HomeMy WebLinkAboutE16-0207_1.pdf Department of Community Development
75 South Frontage Road West
Vail, CO 81657
TOWN on Tel: 970-479-2139
www.vailgov.com
ELECTRICAL PERMIT
Electrical Permit Submittal Requirements Including Heat Tam 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:
-?rO S, w A, 4 Project#:
(Number) (Street) # wilding Permit#:
Building/Complex Name: OC- Electrical Permit#:
Project Information:
!l coACCIAL l w J
Owner Name: t� J f, /V Lot#: Block# Subdivision:
Parcel# g. � 031231 {0E 6 //��,�j -
(For Parcel#,contact Eagle County Assessors Office at(970)328-86413 or visit Defin Scope and Locati of Work: /� 1.! M.d/F .i
www.eaglecounty.uslpatie) I
1(-00rM 4 iii? /
Business Name: �, �e IA) ' 16._f"
Contractor Informat n
c-1 �� viz« 1 ' f h• ny ,I. • ,I
II
^
Business Address: i1 elyl V1t
City /14VO1A) State: CO Zip: a// � ac / * dC 1/
1'
S'Vr'
Contact Name: Sf_:0# A rCA14 k i r � tee �- 6, tai-e
f
Contact Phone: c/ 70 ' 'o ov` (FFS-- ktGA\-(y—S.
(use additional sheet if necessary)
Contact E-Mail: G I V a CI IrC r f r ♦ r� • ! _.
I hereby acknowledge that I have read this application,filled out in full the Includes Temporary Service: ( )Yes (�} 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 laws, Work Class:
and to build this structure according to the town's •- . an. subdivision New( ) Addition( ) Remodel ( Repair( )
codes ded* n review .ap eve. International !,,•1 ding a d •residential
Cad ther or. �` •, the T�ov .n th• = o. Other( )
y
`� Type of Building: Single-Family( ) Duplex( )
Owner/Owner's Representative Signature(Required)
Applicant Information
Multi-Family ] Commercial ( ) Restaurant( )
Applicant Name:
1 ►7 / r_+ 4(.?,ft . Other( ) . •
Provide BOTH square footage of area of work
Applicant Phone: M77O' 3 76' 0(f- f AND Valuation(LaborSt&,/Moate leis)
Applicant E-Mail: f/1"r 1(—r alp/ he,bi I I . Amount of SQ Ft.: l�,f,(1�
CC �1
Additional Authorized ProjectDox Users J Electrical$: L1 bD
Full Name:
E-Mail:
Date Received:
Full Name:
E-Mail:
.
For Office Use Only:
Fee Paid:
Received From: ______
Cash Check # _ -
CC: Visa I MC Last 4 CC # ______ Auth # _
Rev.20i5-Dec