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HomeMy WebLinkAboutE16-0184 Application_2.pdfDepartment of Community Development 75 South Frontage Road West Vail, CO 81657 Tel: 970~479"2139 www.vailgov.com ElECTR~CAl PERMHT Electric:al Permit Submittal Requirements Including Heat Tape Installation _Floor plan I Site plan showing proposed work -~ad Calculations and one-line diagram when loads or circuits are being added _Occupancy Group listed on plans _Building Type NOTE: For Multi-Family and Commercial buildings-plans and calculations must be prepared by a Colorado Licensed Electrical Engineer Project Street Address: i 5o~ Z. . L-\ ~\Ae.r~d ~ rdi . ?i:J£. _ Project#: {Number) (Street) {Suite#) ' Building Permit#; t1J (.Q· u3 7 g Building/Complex Name: \) {)..;1\,-\-~ \)()\DC : Electrical Permit#: cLu ·D~ Project lnformatron: Owner Name: ~C.. e.,.\ 1ek . Lot#: --Block# --Subdivision: Parcel# {For Parcel 'if:, contact Eagle (;ounfy Assessors Office at {970)328-8640 or Vis if: Define Scope and Location of Work: www.eagleco?ffiY.us/pafie) tvQ\nCQ, fb~~oh-s Contractor Information ' iSLD\"1-c.N\._t'()% ·~ ~--£\oo\ ~ Business Name: \e--&\CA..~ Business Address: ~ ~ "2.152 City Qp_c\ CJ\!f state: CJD Zip: "3\kf--\9 Contact Name: i\n~e.h\ro... ~\Q_s .Contact Phone: ql-0 ~ 2.--=t-6 3CjO -Contact E-Mail: -te -s \o.. \IC\.,\ l ©3§ MQ\ l Q ~ {use additional sheet if necessary) I hereby acl<nowledge that I have read this application, nlled out in full the Includes Temporary Service: { }Yes {~No information required, completed an accurate plot plan, and state fuat all the information as required is correct. I agree to comply with the infor-1 Work Glass: mation and plot plan, to comply with all Town ordinances and state laws, and to build this structure according to the town's zoning and subdivision New ( ) Adcfrfion ( ) Remodel (~ Repair { ) oodes,-design~-.aiB"-t,fand-Codes and other o · ance f ti1p T wn applic9 e thereto. Other ( ) X l :' ~ (\. ./"\.. Type of Building: Single-Family ( ) Duplex( ) Owner/Owner's Representative Sigr(at!Tre (Required) Applicant Information Multi-Family ( ) Commercial ( ) Restaurant ( ) I !Ql:her ( ) Applfcant Name: t Provide BOTH square footage of area of work - Applicant Phone: 'i AND Valuation (Labor & Materials) Applicant E-Mail: /Amount of SQ Ft: CJ-=tL. Additional Authorized Projecf:Dox Users i Electrical $: lgoo era . Full Name: j E-Mail: t"' Recelwd' FuJI Name: E-Mail: For Offiee Use Only: fee Paid: Received From: Cash Check# CC: Visa I MC Last 4 CC # Auth# Rev. 2015-DeG