HomeMy WebLinkAboutE16-0224 application.pdf Department of Community Development
75 South Frontage Road West
TOWN OF VAI!` Vail,CO 81657
Tel: 970-479-2139
u/cs . /6-- 0 3 81 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:
230 .e9i-I P S4 eel/ Project#:
(Number) (Street) (Suite#) Building Permit#: (co— 4 q
Building/Complex Name: 9`P
1
Electrical Permit#: ��6 Qa
Project Information- r� /
Owner Name: 5��p4r-/ Sip,i/4' f a d Y'�—r Lot#:—Block# Subdivision:
Parcel# PjD1a8a91OGca. _
(For Pareel#,contact Eagle County Assessors Office at(970)328-8640 or visit P Define Scope and Location of Work:
www eaglecounty.us/patie) r /___
Contractor Information it"`J 0,—, ,�'�`7``'-t fz* 1;r(.::..t.,-.'r
•
Business Name: k-C)kl\SL• C- --A-x4.-V-- (=(4.s-,Cr kv iL
Business Address: (t2-.O
City ta-b-A A-3 State zip: (Cc:3 a i I
Contact Name: --Rt.t\ LA� ==.4- I 77v CCICC.!& /6,_,-Q
Contact Phone: °C.14:: •- Yt - 9---4 (`'
Contact E-Mail: SILS }71 `.r�N`
J L ts'j` 1(use additional sheet if necessary) `
I hereby acknowledge that I have read this application,filled out in full the i Includes Temporary Service: (C)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, 1 Work Class: •
and to build this structure according to the town' •••it and subdivision
codes,design review approved,International: ilding a • Residential New(r) Addition(r) Remodel(fir Repair(r)
Code a d oth or ' sof the Town ap•lc.• • •• eto. Other(C) •
X ; �� � '; c, z-r.- ,.
-
Ownf#r/ wne 's Representative Signature (Required) TYPe of Building: Single-Family(( Duplex(C'
Apgllc t In rmation Multi-Family(C� Commercial((( Restaurant(( •
Other -)
Applicant Name: 557 • e../e ..8c rc-5 vee, s e .....__..x...__.
Applicant ✓JQ— �� —.3:5"—c".? j Provide BOTH square footage of area of work ;
Phone: i AND Valuation(Labor&Materials)
Applicant E-Mail 6C'(yS 1424-/X, s//•r Ise: Amount of SO Ft.: 16 0•
Additional Authorized ProjectDox Users
Electrical$: .7 7.:5 c'.
Full Name:
E-Mail:
Full Name: • Date Receiv' ••
E-Mail:
0 EC - � M
For Office Use Only:
Fee Paid: OCT 1 2075
I)
Received From:
Cash Check# TOWN OF VAIL
CC: Visa/MC Last 4 CC# Auth#
Rev.2015-Dec