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9 C ,,, ._ - RM PERMIT Iication
FIRE Al.p► s are required at the time of apation will
drawing
included information listed on the 2nd page of this form. App
Commercial and Residential Fire Alarm shop
submittal and must
not be accepted without this information.
Office Use:
Project Street Address: ----- Project#:
193Gore Creek Drive (Suite#)
Street) Building Permit#:
(Number) ( gHreet Basil)
Gore Creek Plaza ( Alarm Permit#:
Building/Complex Name: �—
Lot#: Block# Subdivision:
Contractor Information:
Company: Xssentials by Thul ElectronicsMove FACP from hallway
PO Box 534 Detailed Description of Work:
Company Address: 81620to new coat closet. Install annunciator in hallway,
Avon _
City: State: CO ZiP and add initiation ¬ification to new restrooms.
Contact Name:
Ron Davidson
Contact Phone:
970.949.4638 (use additional sheet if necessary)
E-Mailron.devidson@xssentials.com
fill Existz Yes(v) No( )
Town of Va %•nt ac .r Registration No.: 112-S
08S
/ Does a Sprinkler System Exist? Yes(v) No( )
X _��'1- Work Class:
Contractor Signature(required)
New( ) Addition ( ) Remodel (v) Repair( )
Property Information Retro Fit( ) Other
Parcel#: 210108213010
(For parcel#,contact Eagle County Assessors Office at 970-328-8640 or Type of Building:
visit www.eaglecounty.us/patie) lex Single Family( ) Duplex( ) Mufti-Family( )
Tenant Name: Sweet Basil Commercial (v) Restaurant(r) Other( )
Owner Name: Gore Creek Plaza LLC
Date Received:
Complete Valuation for Fire Alarm Permit:
Fire Alarm$: 3000.00