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HomeMy WebLinkAboutE16-0075.pdfTOWllOF~ Department of Community Development 75 South Frontage Road West Vail, CO 81657 Tel: 970-479-2139 www.vailgov.com ELECTRICAL PERMIT Electrical Permit Submittal Requirements Including Heat Tape Installation /Floor plan I 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 P':?ject Street Address~ I _ '_( .A.fJ../ k~l}o t!;J()/)f~ Ci (Number) (Street) (Suite#) Building/Complex Name: ~ / u M bl"{) <--d ) Project Information: tf Owner Name: A Of) Parcel# ;(I 0 J (c+ 3' /(e.lldv o<;. 009 (For Parcel #, contact Eagle County Assessors Office at (970)328-8640 or visit www.eaglecounty.us/patie) . Contractor Information Business Name: UJ1-rc., AJcf De:.--m;·c/ L2 e._._, Business Address: f () tfot.U ! II 'Q. City AvoQ State: ~ Zip: $?((~0 Contact Name: C+c: .0 be i/I tra i rs to ' ContactPhone: C(70 qo<f C>tf).... ( Project#:------------------ Building Permit#:--------------- Electrical Permit#: _~_-_ib"-·_-_0 ________ _ Lot#: Block# Subdivision: _______ _ Define Scope and Location of Work: ,ft:tf a C.-c ,, -e,,w; ~+; .u S -er eA1-> e.a.. l ea o l--r ±o c.ut/'c?J\± Mc 1 flcfo/ . Contact E-Mail: W ,-/'-(..., fvuf ggs,<;;@,loff>1otf. c.i_.,M (use additional sheet if necessary) I hereby acknowledge that I have read this application, filled out in full the 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, and to build this structure according to the town's zoning and subdivision codes, design review approved, International Building and Residential Codes and other ordinances of the Town applicable thereto. Includes Temporary Service: ( ) Yes (vfNo Work Class: New ( ) Addition ( Remodel (jRepair 4/) Other ( ) _______________ _ X ~ ,---2"""~ A epresentative Signature (Required) Type of Buildin;i: Single-Family ( ) Duplex ( Applicant Information Multi-Family(/) Commercial ( ) Restaurant ( Applicant Name: VJ} <-I' (_ #J c.J +-E: ( (j) ft; c/ TN c:,,.-Other ( ) --------- 0 ? /1 . c:? c:r -c..-Provide BOTH square footage of area of work Applicant Phone: l 0 Ji-. C ..!} il -J ,d AND Valuation (Labor & Materials) Applicant E-Mail: CN; <"L.f\d-g"g: CS--@., he>{ Mo.If .(s.!11 Amount of SQ Ft.: ~ ,(, / f 1 Additional Authorized ProjectDox Users (2 ~ o Electrical $: __ _,___ _____________ _ Full Name: ------------------- E-Mail: ____________________ _ Full Name: ------------------- E-Mail: ____________________ _ For Office Use Only: Fee Paid: _________________ _ Received From: ______________ _ Date Receiv·;:e:::!d.:..: -~-:::::--::::::--:::--;;--;;--;:::;;--;:::::::-i 0 ~©~Pij~~ MAY 0 G 2016 ~ Cash Check # ____ _ TOWN OF VAIL -~ CC: Visa / MC Last 4 CC # ___ _ Auth# ___ _ Rev. 2015-Dec