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HomeMy WebLinkAboutB14-0125 REV2 transmittal.pdfTOWN OF~l?i Department of Community Development 75 South Frontage Road Vail, CO 81657 Tel: 970.479.2128 www.vailgov.com Development Review Coordinator TRANSMITTAL FORM Use this form when submitting additional information for planning applications or building permits. This form is also used for requesting a revision to building permits. A two hour minimum building review fee of $110 will be charged upon reissuance of the permit. Application/Permit #(s) information applies to: Attention: ~isions Project Street Address: q 50 Rffe Sf'rtJl> )To yJti · (Number) (Street) (Suite#) Building/Complex Name: Ji;-bio Poi~ Applicant Information ~ O Response to Correction Letter D_attached copy of correction letter 0 Deferred Submittal QOther __________ _ Description of Transmittal/ List of Changes, Items Attached: 2.t=:-PA\ \c O:f ~"S l-Et\l'.'... - (architect, contrai;.tor, owner/owner's rep) \ f\\JDJ\J?lU\llSJ.A.JcS.,. HEA.11.AJG..ln:::-. ~ol\f'N-0~ ~o \< .... d2.~ ·Tfh: 6-'\S Contact Name: HAC2..lo DNDQ..05 ' Address: ?o.~CK 2CSI City EvLokQ.DS State: <:...D Zip: 'Bl65Z Contact Name: HA.eJD ----''----------------(use additional sheet if necessary) 9 7o -c:r DA -orv:::1 1 Contact Phone: -l -\ u--1 . Building Permits: rn6>na~::::i,, () f\ I .. (Yl b,e. r::, ,.,.-, r.r--. Revised ADDITIONAL Valuations (Labor & Materials) Contact E-Mail: 1 · ' '-Q-'c.: '-Jo r \..U ~c 1 J ----------'-'----------. (DO NOT include original valuation) red) For Office Use Only: Fee Paid:------------------ Received From: ---------------- Cash---------Check# ______ _ CC: Visa / MC Last 4 CC # exp. date: ____ _ Authorization#---------------- Building: Plumbing: Electrical: Mechanical: Total: Date Received: $ $ $ $ $0 ~.oD ~©~QW~ n OCT 0 g 2014 LJ TOWN OF VAIL