HomeMy WebLinkAboutE17-0028 application.pdf Department of Community Development
75 South Frontage Road West
TOWN OF 9Vail,
Tel: 970-479-2139
www.vailgov.com
ELECTRICAL PERMIT
Electrical Permit Submittal Reauirements Includina 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 Address: �� sQ
j J i'roject#:
(Number) {Street) (Suite,#) Building Permit#: B17-0048
i BuildinglComplex Name: ic,„ 7„,
tf/�/� Electrical Permit#: El 7-0028Project Information:a 1 '
Owner Name: /TC)Wn r d 4 rh r,c 7rc A,)ow Lot#: Block# Subdivision:
Parcel# 2 I O 1 a -21/-0, q
(For Parcel 11,contact Eagle County Assessors Office at(970)3254640 or visit Define Scope and Location of Work:
www.eagiecounty.usipatie) ''�� f
Upl)rnrlt? e I�r tie Pr,,,,,,.
Contractor Information J f
— �^ tor: "1'C3 ,Por) v p ?P 1'111 nv
Business Name: x C▪ � If! /'
BusinessAddrea: - 4..).97 f r� �/pt 1� C n ��r�.�r�
Cityj State: ) Zip:i. 4.144-
Contact
L44.Contact Name: t I t
Contact Phone: - . - ,
(use additional sheet if necessary)
Contact E-Mail; - a " R{ i V _e_dt±1o*ri.ac-I4 ..
I hereby acknowledge that I have read this ap▪ plication,filled out In full the Includes Temporary Service: (C)Yes C)No
information required,completed an accurate plot plan,and state that all
the information as required is correct. I agree to comply with the infer- — - -
mation and plot plan, .• comply with all Town o . ances and state laws, Work Class:
and to build th. st '-re ac_.c.••• • •- • .%zoning and subdivision New(0) Addition(0 Remodel(C) Repair(C)
codes,des• re •%will.rev:•,Intemationa = Ming and Residential
Codes a o : •117.....-.., :Town a cable thereto. Other(0)
•
X Type of Building: Single-Family(Q Duplex(Q
• .••-• •awner's R:•resentative Signature(Required)
Ap. scant Information Multi-Family( Commercial(C) Restaurant(0
Other C)
L
Applicant Name: Kt rxt tick.. /-e.. -- -- -------
�� 76 �,} I Provide BOTH square footage of area of work
i Applicant Phone: �,J . AND Valuation(Labor&Materials)
Applicant E-Mail: II c : 0 . , r i. - .
. - _ Amount of SQ Ft.: ti 9.O0
Additional Authorized ProjectDox Use
Electrical$: )CC)
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