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HomeMy WebLinkAboutE16-0127.pdf Department of Community Development - 75 South Frontage Road West TOWN OF VAIL Vail, 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: V 1156 J. Gere Cre_ K Project#: (Number) (Street) (Suite#) Building Permit#: Building/Complex Name: Electrical Permit#: Project Informatio o�lie H Lot#: Block# Subdivision: Owner Name: S 5 I Parcel# Z 1o3- I Z3-d 7. OZ.S (For Parcel#,contact Eagle County Assessors Office at(970)328-8640 or visit Define Scope and Location of Work: www.eaglecounty.us/patie) — --~--- / (' I" Re_At aGIlQ/ Contractor Information 1 , Business Name: ZAlier /cC�7;C / (L' k A-01> n<Se - tes 6-w 4'71,4,127, ' n f� Z ,h i / Business Address: O *E3t22-7// City ay ✓MState: Co Zip: Sr637 ALY4 } iy Contact Name: 14gNk Contact Phone: p70—3 s/9‘ r��GC ,L (use additional sheet if necessary) Contact E-Mail: 1/at ao.cofri I hereby acknowledge that I have read this application,filled out in full the Includes Temporary Service: ( )Yes (4 No information required,completed an accurate plot plan,and state that ail 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 s s' ture acco ding to • own's zoning and subdivision New( ) Addition ( ) Remodel Repair( ) codes,design r��-w appro,,Ir�_conal Building and Residential Codes an. ordina own applicable thereto. Other( ) X OwnOf wne 'e resentative Signature(Required) Type of Building: Single-Family( ) Duplex( ) P 9 Applicant Information Multi-Family( ) Commercial( ) Restaurant( ) t Other( ) m Applicant Nae: Provide BOTH square footage of area of work Applicant Phone: 970;370-65,V6 AND Valuation(Labor&Materials) Applicant E-Mail: ;Ltdf[relec r,: 6)y4 h 5o,co'� Amount of SQ Ft: 800 Additional Authorized ProjectDox Users J Electrical$: r 6)104=10..cQ Full Name: E-Mail: Date Received: Full Name: E-Mail: For Office Use Only: E © E EIM E Fee Paid: Received From: JUN 2 3 2016 Cash Check# _ CC: Visa/MC Last 4 CC# Auth #_ TOWN OF VAIL Rev.2015-Dec