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HomeMy WebLinkAboutE17-0002.pdf Department of Community Development 75 South Frontage Road West TOWN OF I/All Vail, CO 81657 Tel: 970-479-2139 www.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 Commercial buildings—plans and calculations must be prepared by a Colorado Licensed Electrical Engineer Project Street Address: 2 ?S /Y) fhtiPS L llf Project#: (Number) (Street) (Suite#) Building Permit#: -612 `' Building/Complex Name: 0(9(0 -Electrical Permit#: �) - . Project Information: , Owner Name: v A l L 'S X �i LLc Lot#: Block# Subdivision: Parcel# 310 1, 6/3(4lige Oc:YC - (For Parcel#,contact Eagle County Assessors Office at(970)328-8640 or visit Define Scope and Location of Work: wI (A www.eaglecounty.us/patie) .. _ .. Uprt-, 6(-24/4, UP T'o c-o0 Contractor Information Vl l CBusiness Name: 0111- ' aCtii71-14 i'16';‘ r /4/J0 Business Address: J 7• g C}�'. 72--{ ec rl/-Z /11/(-W City /J ' C;r(i�N,v-V('Z State: CO zip: �� �f US�L '1 Contact Name: 0/1 110 NOV�c 1 Contact Phone: q ?O 330-- //7 3 Contact E-Mail: Dii'NlL(6(Ak..aVZ1 L C.---Mkic,.44711ise additional sheet if necessary) I hereby acknowledge that I have read this application,filled out in full the Includes Temporary Service: ( )Yes O)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 INew(C'=) Addition O Remodel Repair codes,design review approved,International Building and Residential Codes an�ordinances of the Town ap.' to. Other(C) T eSingle-Family .._ � =Owner/Owner's Representative Signature(Required) YP of Building: (( Duplex(( © NO Multi-Family( Commercial(C) Restaurant(C) Applicant Information D �� � Applicant Name: J oLjOther C) Provide BOTH square footage of area of work Applicant Phone: AND Valuation(Labor&Materials) Applicant E-Mail: 3 Amount of SQ Ft.: 1 as Additional Authorized ProjectDox Users °� Electrical $: Z SOO Full Name: E-Mail: 1 Date Received: Full Name: E-Mail: For Office Use Only: / - RECEIVED Fee Paid: 7t ;),_fJANZO Received From: 17 Cash Check # Town of Vail CC: Visa/MC Last 4 CC# Auth # Rev.2015-Dec