HomeMy WebLinkAboutE17-0008.pdf Department of Community Development
75 South Frontage Road West
TOWN OF VAlI 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:
LDAddress: _
15 As F. 1-L` - it Project#:
(Number) (Street) (Suite#) Building Permit#: (-1 C
i BuildinglComplex Name: Vit ifiv E) "."_,,-) 4` ` 1 1 -- 00 0
Electrical Permit#:
Project Information:
Owner Name: ''r" KA \ Z Lot#: Block# Subdivision:
Parcel# - ' $ '" i 3
(For Parcel#,contact Eagle county Assessors Office at(970)328-8640 or visit Define Scope and Location of Work: r
vivAv.eaglecounty.us/patie)
140-r 1-0 iz oezterk C.„1112
Contractor Information
Business Name: E C S l � � 1
Business Address: i i
City 8,IDUJ HID 5 State: co Zip: r 16
Contact Name: °?,(VC. /V '
Contact Phone: Q 1 O '.j ) l cfa
Contact E-Mail: Quesen by fef i 56 3 yA. (use additional sheet if necessary)
I hereby acknowledge that I have read this application,filled out in full the 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, Work Class:
and to build this structure according to the town's zoning and subdivision New(( ) Addition(( ) Remodel(er Repair O
codes,design review approved,International Building and Residential
Codes and other ordinances of the Town appt ble thereto. Other(C)
Owner/Owner epresentat Signature(Require Type of Building: Single-Family(C) Duplex((
Applicant Information Multi-Family(( Commercial(C) Restaurant(C)
Other )
Applicant Name: jGr Ica;
U �Q ( 3 3 Provide BOTH square footage of area of work
Applicant Phone:
7 AND Valuation(Labor&Materials)
Applicant E-Mail: Amount of SQ Ft.: 6,x;
Additional Authorized ProjectDox Users 5 s
Electrical$: r
Full Name:
E-Mail:
Date Received:
Full Name:
E-Mail:
For Office Use Only: -j l RECEIVED
Fee Paid: �j
Received From: r tb U 8 2017
Cash Check #
CC: Visa I MC Last 4 CC # Auth # Town of Vail
Rev.2015-Dec