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HomeMy WebLinkAboutE16-0157.pdf Department of Community Development • • 75 South Frontage Road West TOWN OF VAIL' ,;._ - Te Vail,47O81657 z a9 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 Mufti-Family and Commercial buildings—plans and calculations must be prepared by a Colorado Licensed Electrical Engineer Project Street Address: i 4 d4 9• q rosy r iv - lApj { Project#: (Number) (Street) (Suite#) Building Permit#: Building/Complex Name: Re-S i 1h E' /ZS 10 119Q2--V Electrical Permit#: Project Information. 1 r Owner Name: i0 IP I S SCG I I s i Lot#: Block# Subdivision: Parcel# / d 3 1 D o y D a$ (For Parcel 0,contact Eagle County Assessors Office at(970)328-8640 or visit Define Scope and Location of Wprk: - www.eaglecounty,us/patie) Contractor Information 0 � I01--eetS 0 � 1Q.5+Vu,C �10 � Business Name: e �0 t. n.-,-e r Business ddre : td • x S.cj / I -q-b Q �� £ /"e d-r i L l 0 J i City ( State:re 0Zip: 81 (o'S d a V''e �s ©"c(' 6 0 N S -L v' l C i o rJ . Contact Name: ti 1 C �Cck /I S L /j6 N (✓O 40 Contact Phone: —7 0 S 1 5V 2_ 2 Contact E-Mail: r (J 1 S e (71 V 0 ca c L I,{ fs,C (use additional sheet if necessary) . I hereby acknowledge that I have read this application,filled out in full the Includes Temporary Service: ( )Yes j„) )/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: -.. . . lid this structure according to the town's zoning and subdivision codes,.desig i-view approved, ternational Building and Residential New( ) Addition ( ) Remodel Repair( ) ..-s and othe ordinarces of Town applicable thereto. `Other( ) X—_A 1,,,.. - 'Type of Building: Single-Family( ) Duplex Owner/Owner's Representative Signature(RegItuired) Applicant Inform tion i Multi-Family( ) Commercial( ) Restaurant 9 1 Other( ) Applicant Name: t N N i 14)i C G I/S -<" „Provide BOTH square footage of area of work Applicant Phone: 7���� �y �--- AND Valuation (Labor&Materials) Applicant E-Mail: ��Tv 1 s 1J�ii'O C/�a (P�S ,6--:Amount of SQ =t.: 12.-0 0 u Additional Authorized ProjectDox Users Electrical$: 00,, -2-c) Full Name: E-Mail: Date Received• FuI1 Name: E-Mail: 11206 • For Office Use Only: Fee Paid: AUG 0(7`� 1016 Received From: Cash Check# TOWN OF VAIL CC: Visa/MC Last 4 CC# Auth# Rev.2015-Dec