HomeMy WebLinkAboutB17-0053_E17-0031_1490375460.pdf Department of Community Development
75 South Frontage Road West
Vail, CO 8157
TOWN UFL 3 Tel: 970-479-21639
www.vailgov.com
ELECTRICAL PERMIT
Electrical Permit Submittal Requirements Including Heat Tape Installation
_Floor plan I 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: I
7414-0 CIA0.1 tt Ku c , Project#:
(Number) (Street) (Suite#) Building Permit#:
Building/Complex Name: L Les ? c�d14V.Le_ Electrical Permit#:
Project Information: [� r –�
Owner Name:. Wl
� nJ R/IOJAIA.t�Gf 12.1-QcXLt 1 f Lot#: Block# Subdivision:
Parcel# Zl O 3 ` —U0 k-k
(For Parcel#,contact Eagle County Assessors Office at(910)328.8540 or visit Define Scope and Location of Work:
www.eaglecounty.uslpatie)
NIA4mRm�
Contractor Information
Business Name: 7?-51:) stn1 c 1��l \Agi AkQ'
Business Address:
City State: Zip:
Contact Name:
Contact Phone:
Contact E-Mail: (use additional sheet if necessary)
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 th structure according to the town's zoning and subdivision New(IQ Addition (C) Remodel{ ) Repair(C)
codes, desit review a proved,International Building and Residential
Codes an, her ordin nces of the Town applicable thereto. Other(C)
xType of Building: Single-Family O Duplex(C)
Owner/owner's Representative Igna ore equired)
Applicant Information Multi-Family(7) Commercial (C) Restaurant(r)
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.: 2-3
Additional Authorized ProjectDox Users Electrical $: (7
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