HomeMy WebLinkAboutE16-0043.pdfTOWN OF~ 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
_Load Calculations and one-line diagram when loads or circuits are being added
_Occupancy Group listed on plans
_Building Type
NOTE: For Multi-Family and Commercial buildings-plans and calculations must be prepared by a Colorado Licensed Electrical Engineer
53
f Contact Phone:------------------
!Contact E-Mail:------------------' !
j 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
I Codes and ot ordinances o the To n applicable thereto.
iX . · frN ·
I
I Owner/Owner's Representative Signature (Required)
Applicant lnform~on , £ (, ~ .
I Applicant Name: txr£filif bu1 Joltf2:>
Project#:------------------
Building Permit#: ___.f3~1 ~~---~0_0-'--C/,_q-t-----
Electrical Permit#:---------------
Lot#: Block# Subdivision:--------
(use additional sheet if necessary)
Includes Temporary Service: ( ) Yes "(J No
1 Work Class:
' New ( ) Addition ( ) Remodel fJ Repair ( )
: Other ( ) ______________ _
Type of Building: Single-Family ( ) Duplex ( )
Multi-Family f'(j Commercial ( ) Restaurant ( )
Other ( ) ________ _
Provide BOTH square footage of area of work
j Applicant Phone:------------------.•AND Valuation (Labor & M~ials)
Applicant E-Mail: , Amount of SQ Ft.:-'Zfi;J'=-""-=--------------
Additional Authorized ProjectDox Users {§'1'1(\ ~g
. Electrical $: _ __,.~"-'--=---------------
Full Name: -------------------
E-Mail: ____________________ _
Full Name: -------------------
E-Mail: ____________________ _
For Office Use Only:~ r-l
1
SC)
Fee Paid: --------'~"""'"'--='--'-----------
Received From: ----------------
Cash Check # ___ _
CC: Visa / MC Last 4 CC # ___ _ Auth# __ _
Rev. 2015-Dec
Air< (JI 2015
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TOWN OF VAIL i ..l