HomeMy WebLinkAboutOTC15-0012_OTC15-0012_1427748960.pdf Department of Community Development
75 South Frontage Road
'- TOWN OF(1%/A11) Vail, CO 81657
Tel: 970-479-2128
r www.vailgov.com
NDevelopment Review Coordinator
N WATER HEATER PERMIT APPLICATION
(REPLACEMENT ONLY)
= (This permit is applicable to one and two family dwelling units only)
Project Project#: —
Street Address:
ti I tiCi `jj_ t In 5L Building Permit#:
(Number) (Stre ) t{O (Suite#) Let#: Block# Subdivision:
Contractor InformationI
Work Class: Alteration( ) Work Type: Interior(V) ;
Business Name: 4 of I1O T __---_____...___�...---.--___..-- -----..._—_.__..-----...__._—.1
y a ��l a �('" "anl� Type of Building: Single-Family(V.Duplex( )
00054 13a6€1ifie Ad h i55
Business Address: - -- _- - �---�----J
Q�� !Joint Property Owner Approval ( ) Yes ( ) No W
City �CJ4 State: A2 Zip: Q !
Water Heater Type ( )Gas (V) Electric €
Contact Name: i_46Ii1
1 Number of Appliances
Contact Phone: 866,-CF' G' 6213 3
E Cut Sheets Included ( )Yes ( )No
Contact E-Mail: &Va.im115Qclel•farnee-6ulitl- r� w".,.�
m `Vent Location Photograph included ( )Yes ( ) No 1
- jailii� (when applicaole) --1Owner/ ner's Representative Annt�a(Required) Submittal Checklist Complete/Attached ( ) Yes ( )No !
Applicant Information Plans Included ( )Yes ( ) No
Applicant Name: 1.__CS I;t 30.91t5 - I�....=5..4__
♦ 1/ !-8 /]
Detailed Scope and Location of Wprk: e,pI ate..
Applicant Phone: %GAD' (A C: 0.13 to Q'lon etk -tc1 e worker
A
Applicant E-Mail: O h4,�1 1. '� C, 4500 Q SI
pp C petrfoll5 c144inte
.__:.:__- _ ___.__- -- -=. -ri —Com_� �or►hte-� +"on�e�-'
Project Information .....---* . 1 , 1
I (Use additional sheet if necessary)
Owner Name: -1Q e_ GSQ( I
I
Parcel#: Vat-11\- o6- 0411-1 I tin.
Q�
(For Parcel It,contact Eagle County Assessors Office at(970428-8640 or visit !Plumbing value of work being performed: $ 1 i i W
www.eaglecounty.us/patie)
For Office Use Only: Date Received:
Fee Paid:
Received From:
Cash Check #
CC: Visa / MC Last 4 CC # exp date:
Auth #
06-Jun-II