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HomeMy WebLinkAboutE16-0081.pdf Department of Community Development 75 South Frontage Road West TOWN OF(° :)VAIL Vail, CO 81657 Tel: 970-479-2139 •Arww.vailgov.com ELECTRICAL PERMIT Electrical Permit Submittal Requirements Including Heat Tape 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 Commercialpuildings—plans and calcul tions must epared by a Colorado Licensed Electrical Engineer Project Street Address: _q M 'L VPrL L pNrt% 915 /**_ R�j Project#: (Number) (Street) (Suite#) Building Permit#: Building/Complex Name: 14% A N R v M I L Electrical Permit#: Project Information: !�!T� �r r Owner Name: CA/ Lot#: Block# Subdivision: Parcel# oil 01 - 0g) - 06 - 010 (For Parcel#,contact Eagle County Assessors Office at(970)328-8640 or visit Define Scope and Location of Work: www.eaglecounty.us/patie) Contractor Information ADP IZ e c.>C`�75 D c, j G tT S Business Name: � L� ELr21 C- F y Cl• • )N FA L1-- Li VIMG R C.4 11.) Business Address: (40 1 tc.i :.ftC City ?Sl))\ State: C C� Zip: '' t C, . 7 Contact Name: it' 1 i K� KC"ak) e_r� Contact Phone: 9'70 41 6 I Contact E-Mail: �� r *�„t‘..)efu 1 K (uke additional sheet if necessary) NQr I hereby acknowledge that I have read this application,filled out in full the Includes Temporary Service: (f )Yes (A.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 zoning and subdivision codes,design review approved.International Building and Residential New(( ) Addition (: ) Remodel( Repa r(C) Codes and ther ordinance of the Tpwn applicable thereto. Other('1 ) Owner/Owner's Representative Signature (Required) Type of Building: Single Family(' Duplex (. Applicant Information Multi-Family(X Commercial (i) Restaurant( Applicant Name: Other ) Provide BOTH square footage of area of work Applicant Phone: AND Valuation (Labor&Materials) Applicant E-Mail: Amount of SQ Ft.: / 000 Additional Authorized ProjectDox Users Electrical $: ®© 4 Oa Full Name: E-Mail: Full Name: Date Received: E-Mail: For Office Use Only: Fee Paid: Received From: Cash Check# CC: Visa/ MC Last 4 CC# Auth # Rev.2015-Dec