HomeMy WebLinkAboutE17-0046_1.pdf Department of Community Development
75 South Frontage Road West
., Vail, CO 81657
TOWN nr UAIL
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:
9 c FPopYA- f Q. Project#:
(Number) (Street) (Suite#) Building Permit#:
Building/Complex Name: NxiikiIIN Vl��) Electrical Permit#: E 1 —00 1-4
Project Information: p
Owner Name: (ZI� Ocw,t v t ( 1 (, Lot#: Block# Subdivision:
Parcel# ZI D 6�2. 1—b1'4
(For Parcel#,contact Eagle County Assessors Office at(970)328-8640 or visit Define Scope and Location of Work: /..)61-) L 6) -/C 7 1 d 'er
www.eaglecounty us/patie)
+in4-bo/ha0-1-- 1r(4t-v-s
Contractor Information
Business Name:��112ee� atc-712.1c, �)uc, �t'?� cue" X)2_00�bK S fie�tLu^ vr� )
Business Address: 11Z 1,01 C,(Q04-j- i k c 41 i t 1Lai
City E-40- 111 6 State:f1j Zip: e/l rAAR- ' Or
Contact Name: 1/ObJ LD 'r'-`11 4P1''
Contact Phone: 9 7o e.)-56q i
Contact E-Mail: J+r Cfe 8 e LT r lC I(l c IMGs` Ltime additional sheet if necessary)
I hereby acknowledge that I have read this application,filled out in full the Includes Temporary Service: (C)Yes ) No
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, Work Class:
and to .uild this structure according to the town's zoning and subdivision Repair•=-s, sign re ew a.. New
i. Inter Tonal Building and Residential (0) Addition Remodel (QR
(Q
Codes : oth r.rdi'- . the (' applicable thereto. Other(Q
X to
Ow•- ow er's Representative Signature(Required) Type of Building: Single-Family Duplex
Appli•. Information Multi-Family Commercial (0 Restaurant(0
irk Other )
Applicant Name: U1 ' 1 O u^
rt _ Z ^ tJ-�i 3 Provide BOTH square footage of area of work
Applicant Phone: I l - AND Valuation (Labor&Materials)
Applicant E-Mail: W lCi 11`-k e 1(-E UIQ>1'IAq C•pr:i 4.1"<. v>'Amount of SQ Ft.: U 5 4
Additional Authorized ProjectDox Users J Electrical$
Full Name: I 1
E-Mail:
Date Received:
Full Name:
E-Mail:
-Forme�nry: �__ _. ._'E RECEIVED
Fee Paid:
Received From: APR 1 0 2017
Cash Check#
CC: Visa/ MC Last 4 CC# Auth # Town of 1/ail
Rev.2015-Dec