HomeMy WebLinkAboutE16-0153.pdf Department of Community Development
1°3
75 South Frontage Road West
TOWN WN Q u i t Vail,CO 81657
Tel:970-479-2439
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 - teii
Project#:
(Number) (Street) a (Suite#) Building Permit#: B 16-0294
Building/Complex Name:
Electrical Permit#: E16-0153
Project Information:
Owner Name: Lot#: Block# Subdivision:
Parcel# 1.01 0 1- D7.. 'Si'To 1
(For Parcel#,contact Eagle County Assessors Office at(970)328-8640 or visit Define Scope and Location of Work:
wvAceaglecounty.us/patie)
.. .. _ s. It 1I 64 I •. _o s . Ar
Contractor Information # G,�
Business Name: Ai r C.,, P_G- 02,3201-5 / /iish f/
Business Address:
City State: Zip: r-
Sto
Contact Name:
Contact Phone:
Contact E-Mail: (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, ,leted an accurate plot plan,and state that all
the information as -.uir is correct. I agree to •u. with the infor-
mation and plo •an,t. amply with all Town• •Hance:-and state laws, Work Class:
and to build t stru r= ,ccording to the • 's zoni a and subdivision New(C) Addition(C') Remodel Repair(C)
codes,deli: r ..3►�-• ntemati. al Builth nd Residential
Codes a - «,.•0 , 0 o•- -• Other(C)
O, =-err--er's Representative Signature(Req►' -d) Type of Building: Single-Family(t'; Duplex((
App cant Information Multi-Family fl Commercial((A Restaurant 0
924-, Other
�� AS t.._. Other )
ApplicantName: i'-'f'5 �...... . �., .�._.� __.x__.a. .w.-..-.._.-. . —
Provide BOTH square footage of area of work
Applicant Phone: 5$44.Yean AND,Valuation(Labor&Materials)
Applicant E-Mail: Amount of SQ Ft.: 2, .59 q
Additional Authorized ProjectDox Users Electrical$:
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