HomeMy WebLinkAboutE16-0072.pdf Department of Community Development
75 South Frontage Road West
TOWN OF IT) J 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
ProI`�"
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Project Street Address: U�
2510 x"111111 14-k f 41}t/(( ' f,.-,‘ Project#:
r n(Number) (Street) (Suite#) Building Permit#: 0 ib -0 `v
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Building/Complex Name: /WO , (At-VI
CO �JL ' ._0 D1
Electrical Permit#:
Project Information: v�1 U" /
Owner Name: ( ,fin ,T I—
Lot#: Block# Subdivision:
Parcel# 2- I 05!j i-3/q9/2
(For Parcel#,contact Eagle County Assessors Office at(970)328-8640 or visit Define Scope and Location of Work: it l 7Z.1(44(...)
www.eaglecounty.us/patie)
Contractor Information - /� �/� / �,
Business Name: l( . i `�I i Lfc 6/` - 17,1/4/c_.
/7�✓'J b �-�Jr`� 1 k(T? J ! /$
Business Address: ipso, '724 4, .007'01-475 1 G� k I
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City h'1,, z)(44.iZ`,0 6t State:t� Zip: 30 4.24c-,
Contact Name: Jfr/Z 0 O iil ✓) / t 4 hAS ‘,7->u . t, e4-0-i i^
Contact Phone: Q17o- 390-1) ?3 1)1,1 O
ex(,iTf/(t tI�,p 4
D d_ ,j ,? (use additional sheet if necessary)
Contact E-Mail: /��" 7.(-�uZV�(C -N�-ct��-!M/�'fC-L9'G('.
I hereby acknowledge that I have read this application,filled out in full the Includes Temporary Service: ( )Yes KNo
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 structure according to the town's zoning and subdivision New( ) Addition ( ) Remodel ( Repair( )
codes, design review approved, International Building and Residential
Codes and 4h ordinances of the Town applicabl the o _ Other( )
Owner/Owner's Representative Signature(Required) Type of Building: Single Family( ) Duplex( )
Applicant Information 0 Multi-Family.K Commercial( ) Restaurant( )
Other
Applicant Name: 0 (Provide) ., ,
.
Applicant Phone: q79 0 1 173BOTH square footage of area of work
AND Valuation (Labor&Materials)
Applicant E-Mail: ,j /1-6 46014 Amount of SQ Ft.: 9-00 5 a P`t`
Additional Authorized ProjectDox Users Electrical$: 119 00
Full Name:
E-Mail:
Date Received:
Full Name:
E-Mail:
For Office Use Only: / _ lECEI1WE -,
Fee Paid: I/
Received From: APR 2 o' Z016
Cash Check# j/
CC: Visa/ MC Last 4 CC # Auth # TOWN OF VAIN
Rev.2015-Dec ,