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HomeMy WebLinkAboutE16-0039.pdf Department of Community Development 75 South Frontage Road West 41, TOWN OF NAIL 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: 7,16 Dt. Project#1 (Number) (Street) (Suite#) Building Permit#: Building/Complex Name: Electrical Permit#: SCJ - 0 v 3� Project Information: ® ' Lot#: Block# Subdivision: Owner Name: 're,l.uies D 9` C/a Parcel# 2/0/— / 2 - /S - CO 7 J�/'1 (For Parcel#,contact Eagle County Assessors Office at(970)328.8640 or visit Define Scope and Location of Work: Gr, 1104 www.eaglecounty.us/patie) / 47" rem-it'd� (t<l� f r✓rc,ri� .�`r©✓\ Contractor Information Business Name: Own Q (/a r 7/ 4r4 1"X i5 �9 �'� l N E'Lt,/ Business Address: 5 ,Si r, , . - LP, r��/r�-c City t/Gii ( State: Co Zip: S Contact Name: 7 //n h /(t v`C�z Contact Phone: Cf-77-0(} — �- — 7 Contact E-Mail: (1 /6i ( ,-cQ UG/r V C d'� (use additional sheet if necessary) I hereby acknowledge that I have read this application,filled out in full the Includes Temporary Service: r)Yes (XT-No information required,completed an accurate plot plan,and state that all the information as requir-• is correct. I agree to comply with the infor- mation and plot plan,t• omply with - -own ordinances and state laws, Work Class: and to build this str re accor4feci the town's zoning and subdivision a codes,design rev' approved ational Building and Residential New(`�) Addition Remodel a pir(T) Codes and oth- ordinance • t e • n applicable thereto. Other(T) XType of Building: Single-Family(c--; Duplex(C) Owner/O - s 'epresentative Signature(Required) Appli• - Information Multi-Family(.I Commercial restaurant(C) r r Other C) Applicant Name: 7-79 wr\ 4 (/Cvl Provide BOTH square footage of area of work Applicant Phone: q7() — .7 --©' / AND Valuation(Labor&Materials) Applicant E-Mail: /lvt. i uet i r/ U U -60'1" Amount of SQ Ft.: ?III Additional Authorized ProjectDox Users Electrical$: /00/F)V[9.i 7 h rnel Full Name: E-Mail: Date Received: Full Name: E-Mail: For Office Use Only: Fee Paid: Received From: Cash Check# CC: Visa/ MC Last 4 CC # Auth # Rev.2015-Dec