HomeMy WebLinkAboutE16-0089.pdf 2 Department of Community Development
75 South Frontage Road West
TOWN OF VAIL AVail, 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:
ib \OiL.1at5‘lP CR . 301 Project#:
(Number) (Street) (Suite#) Building Permit#:
Building/Complex Name:)10,1
V 0,f rDA fl1f11 c
r Electrical Permit#:
Project Information:
Mit-' C A- �-L1/11/r. A-
Owner Name: M i chap l 1MtA.leis' Lot#: Block# Subdivision:
Parcel# Zldtt:)&33-ioN[p - \-40
`
(For Parcel#,contact Eagle County Assessors Office at(970)328-8640 or visit Define Scope and Location of Work: 1 `e�`aC e._.
www.eaglecounty.us/patie)
i
' Y �. _ x15 n ha�1,Q 4 ach 1t c 'r* ',u
Contractor Information t ` ,
Business Name: Me\,SO \ i(?c1-NC �c1Z�f1 �n 1)
-1'.� _ ■ 1 /. ( ■. 1l
Business Address: 0,ISG moi •
,
City \VO✓N State: CCj Zip: * V i ' ■ . .
J6' "ri l. •
Contact Name: 4q Ne1S00 l<t7G -0(A tis AD G 5"
Contact Phone: 910 - 391'' -4$1 Z
Contact E-Mail:f el awl e\g'j,G eie [oot('cta. (use additional sheet if necessary)
I hereby acknowledge that I have read this application,filled out in full the Includes Temporary Service: ( )Yes YY No
information required,completed an accurate plot plan, and state that all
the information as required is correct. I agree to comply with the infor-
mation and plot plan,to comply with all Town ordinances and state laws, Work Class:
and to build this structure according to the town's zoning and subdivision New Addition Remodel (� Repair
codes, desig view approved,I ernational Building and Residential ( ) ( ) emo - \ ( )
Codes an- o?view
Town applicab a thereto. Other( )
X r' " y
Owner/Ow'-Cs Repr entative Signatur (Required) Type of Building: Single Family( ) Duplex( )
Applicant Information Multi-Family)Commercial ( ) Restaurant( )
L m K i Other( )
Applicant Name: Ei—c (_L_� Wv
Provide BOTH square footage of area of work
Applicant Phone: 9-70- 76. -(j' AND Valuation (Labor&Materials)
Applicant E-Mail:CIIIT'yCnAPEr:* 111 .CO j Amount of SQ Ft.: 1-
Additional Authorized ProjectDox Users Electrical$:P Z 1:=ZY::,
/
Full Name:
E-Mail:
Date Received:
Full Name:
E-Mail:
For Office Use Only:
Fee Paid:
Received From:
Cash Check#
CC: Visa/ MC Last 4 CC # Auth #
Rev. 2015-Dec