HomeMy WebLinkAboutE16-0050.pdf Of...ova 0..) er Pt s.5r-AO 1� .Department of Community Development
Li75 South Frontage Road West
TOWN OF VAIL* % ✓t Oa -O � fticmg_ Vail,9CO 81657
tip. `!� �' � 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:
?SSC S>0b0 Project#:
(Number) (Street) (Suite#) Building Permit#: ( (0" OO
Building/Complex Name: / v (-
Electrical Permit* �� -o0 S
Project Information:
Owner Name: `-
C {]pJ - -Lot#: Block# Subdivision:
c-'C `
Parcel# 2I 0\ 02 01 009
I(For Parcel#,contact Eagle County Assessors Office at(970)328-8640 or visit j Define Scope and Location of Work:
Con Information ( ��, 15� �',�C�
Business Name: 5
Business Address: 2-<6 2— l
City ta. Gk:\.0 State: C-U Zip:75((f24°1
Contact Name: ]() QWl `�-�� — '-b9 -n
-it
Contact Phone: S5) �3(e-,D11
Contact E-Mail: 'te- e C (use additional sheet if necessary)
S 1QUGU ���,(�1 � �
iI hereby acknowledge that I have read this application,filled out in full the i Includes Temporary Service: ( )Yes Of 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 build this tructure cording to the town's zoning and subdivision New( ) Addition Remodel( Repair( )
codes, design ew apprt ed,I• - •-bona!B gilding and Residential
Codes and of r rdinance of th-T. 'n appli.T.le thereto. Other( )
X 'Type of Building: Single-Family 4 Duplex( )
Owner/Owner's Representative Signature(Required)
Applicant Information Multi-Family( ) Commercial( ) Restaurant( )
1
111 Other( )
Applicant Name:
Provide BOTH square footage of area of work
Applicant Phone: AND Valuation(Labor&Materials)
Applicant E-Mail: Amount of SQ Ft.: /
Additional Authorized ProjectDox Users q FOO
Electrical$:
Full Name: ,
E-Mail:
Date Received:
Full Name:
E-Mail:
ECE \ M
For Office Use Only: 3 U
Fee Paid: �l APR 13 2016
Received From:
Cash Check# TOWN OF VAIL
CC: Visa/ MC Last 4 CC # Auth #
Rev.2015-Dec