HomeMy WebLinkAboutE16-0163 Application_2.pdfDepartment of Community Development
75 South Frontage Road West
Vail, CO 81657
Tel: 970-479-2139
www.vailgov.com
ELECTRICAL PERMIT
Electrical Permit Submittal Requirements Including Heat Tape Installation
_Floor plan I Site plan showing proposed work
_Load Calculations and one-line diagram when loads or circuits are being added
_Occupancy Group listed on plans
_Building Type
NOTE: For Multi-Family and Commercial buildings-plans arid calculations must be prepared by a Colorado Licensed Electrical Engineer
Project Street Address: ~ D ,
06..3 f-;:~6(\e, Cf'e.,eb _f'l w::~
(Number) (Street) (Suite #)
Building/Complex Name: Rot!V Jdc:)LA6e6
Project lnformatiorr-I q / /
Owner Name: Ef\l\C -4S6h '-.._..) b 1' [' /'e.}
Parcel# Q IOI -08-Q-\3\-Q(_)cl
(For Parcel#, contact Eagle County Assessors Office at (970)328-8640 or visit
www.eaglecounty.us/patie)
Contractor Information
Business Name: _·_,_(_\()-==£.-'>'Q'"'="'--------------
Business Address:-------------------
City _________ State: ___ Zip: ____ _
Contact Name: -------------------
Contact Phone:-------------------
Contact E-Mail:------------------
E-Maii:.-J-!....!Ll.....!....l..!...=:"-f='~~lL..!4.L.ILl!..a::::t--J--'---'-'--'-"""CL!!..I..LLI.L.::=""""--'LL-
Full Name: _________________ _
E-Mail:. ____________________ _
For Office Use Only:
Fee Paid: _________________ _
Recewedfrom: _____________________ _
Cash Check# ____ _
CC: Visa/ MC Last 4 CC # Auth # ___ _
Rev. 2015-Dec
Pr~ect#: ________________________________ _
' Building Permit#: _ ....... 8"-'-f"""'(p'--.-"Q..a.,-3??~-Lj ____ _
: Electrical Permit#: _ ___,£~/L:[,.,.__·_,O"-l,/'-l{.p'-!h::Jc:r------
Lot#: Block# Subdivision: _____________ _
(use additional sheet if necessary)
Includes Temporary Service: ( ) Yes )><)No
Date Received: