HomeMy WebLinkAboutE17-0036.pdf Department of Community Development
diP 75 South Frontage Road West
TOWN OF Mai vau, co$1s57
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:
1CLS6 {�ODC�IS' (Of Project#:
(Number) (Street) (Suite#) Building Permit#: 3 t1 `v 0 6 0
Building/Complex Name: EAU— '`GtQ(bL Cf..kktASS Electrical Permit#: til/ 0 0 ;(.)
Project Information:
Owner Name: (b ` u 7calL-lc� Lot#: Block# Subdivision:
Parcel# 21 O 1 Dom(i 02_ Q 41
(For Parcel#,contact Eagle County Assessors Office at(970)328-8640 or visit : Define Scope and Location of Work: f s'K7V1 1"'KC +""
www.eagiecounty.uslpatie)
Contractor Information � �� 'j t� � ���
Business Name: ' / L- UZ.TfZ(L_ �� ��
e.
T-
Business Address:�0
City 4 f(set State: CO Zip: VO-C)
Contact Name: 51 C o'SN6;LC_
lit)Contact Phone: [ ,OG 183 6
I Contact E-Mail:GIIA(P(AS e..-.r.27AletGc-etc-tuu,.-.<0 pile additional sheet if necessary)
I hereby acknowledge that I have read this application,filled out in full the Includes Temporary Service: (3 Yes Qi Ho
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 buil•this structure according to the town's zoning and subdivision
codes,de•ign review approved,International Building and Residential New(0) Addition (C) Remodel(Repair(C)
Codes r-.other ordinan. of the Town •plicablg thereto. Other(( )
4 ..60060 . __.
0 �e�►�� e p sentativ Signature(Required) Type of Building: Single-Family(3 Duplex(0
Ap• nt Information Multi-Family((aCommercial (0 Restaurant 0
Other
Applicant Name:
Provide BOTH square footage of area of work
Applicant Phone: AND Valuation(Labor&Materials)
Applicant E-Mail: C �Y}
Amount of SQ Ft.: S.C.
Additional Authorized ProjectDox Users
Electrical$: lel( o t!s
Full Name:
E-Mail:
Date Received:
Full Name:
E-Mail: RECEIVED
For._fffce seely: .
Fee Paid: 5 ic3 `0AR 3 1 2017
Received From:
Cash Check# Town of Vats
CC: Visa/MC Last 4 CC# Auth #
Rev.2015-Dec