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Electrical Permit_7.pdf
~ TOWN OF lwf1! Department of Community Development 75 South Frontage Road West Vail, CO 81657 Tel: 970-479-2139 www.vailgov.com ELECTRICAL PERMIT Electrical Permit Submittal Requirements Including Heat Tape Installation _Floor plan I Site plan showing proposed work _Load Calculations and one-line diagram when loads or circuits are being added _Occupancy Group listed on plans _Building Type NOTE: For Multi-Family and Commercial buildings-plans and calculations must be prepared by a Colorado Licensed Electrical Engineer Project#: -Vf-L---I=fl-=~P:........~...l~~-----v-6 __......S]~():..L-Z_ Project Street Address: '@(,) UIJN~H${;? fl.EKB=------- (Number) (Street) (Suite#) Building/Complex Name: f,LD(jz -"';r;~;____.fR-'-=N;-'-"'--;f._,_,'Pt._._ __ Building Permit#:-------------- Electrical Permit#:------------- Project Information: owner Name: S""f~le !>R.'JerN / Plf~ . Lot#: Block# Subdivision: ______ _ Parcel# J} 0 /{)72,0 J O~'l.. -/063. t/(J!01J.DW01-t:iZ7 . (For Parcel#, contact Eagle County Assessors Offi[e at (970)328-8640 or visit :: Define Scope and Location of Work: JNS14:Yd~ www.eaglecounty.ustpatie) t,/D/f) j 2JJ~ f1{) /· C'O ii • • .. , ___________ -----~-----::~ --~~--~-~-~-·~-----~----_., ____ ~----··Ji'eRMAf'J£1\JT \\HX!liUC!} WM t;XISTtiJC.. Contractor Information 1 )H Business Name: '-XPEK1' .SL.f;C{RlC.. ! fANGl ~p c~Ar ¥ME ~y_ ; Business Address: /110 f((lfi'fH.P&N UJU/2:"[ ~~ dft.CA IT 5R.f.B~(!{, L ~{)A $1N6ti.E ~ City f{ IEt.-6" State: ca Zip: g/6~0 :zos v) .l.«aJetZ '-'l1ltrtJ 5\..t?Cf 10 i Contact Name: .liM l-AR£ec,.H-A irtbUib'€ rowGR fDrt ~e~15 ri-v TrA47 A. '17D 5o"l l}U."' ~ "''i...L IA.$E !EM.£ f~ZSR. C-ntttt1t.Ebol) Contact E-Mail: X f' R 1.E L.E c,. -r (C lt-® XAt~tiJ 1 (l)~ f~~~~~iti~-n-~1 ~-~::t_ if ~=-c-~ssary) ---~------~~ Contact Phone: I hereby acknowledge that I have read this application, filled out in full the i, Includes Temporary Service: (Q Yes ~No information required, completed an accurate plot plan, and state that all _ "f' 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, I Work Class: 1 and to build this structure according to the town's zoning and subdivision New (0) Addition (0 Remodel (Q Repair (0 codes, design review approved, International Building and Residential 1 1 Codes and at~: o:d~nc:.s of th~~wn applicable thereto. Other (0) !-I NiL e,t-rerJS.tOJu 11> J'l'Z!J.V1"A X ~ OJ~/) Typ~-;;f'B~iidi~g~~gle-Family Duplex (Q Owner/Owner's Representative Signature (Required) Applicant Information i Multi-Family (C) Commercial (~ Restaurant (Q jother0) Applicant Name: ~fl.LST f IW'V BASSO . f</.A- Applicant Phone: qz{) 376 ; 9n' Applicant E-Mail: tz>~DO U'41VO,t/l.7 fiTLtPiD@ Additional Authorized ProjectDox Users M~IV ' Cl>/1-1. Full Name: ------------------ E-Mail: __________________ _ Full Name: ------------------ E-Mail: 'ForOffice UseOiiJY _________________________ ------------ Fee Paid: _______________ _ Received From: _____________ _ Cash Check # ____ _ CC: Visa / MC Last 4 CC # ___ _ Auth# ___ _ Rev. 2015-Dec '' ~U_....,.,_ ___ •~"''~'"''A~·-~~~-..l~""' .... ~.,..,__,.,Mi,_'4"""'"""'·..;;:,,_~.,.><>"""-"""""·'-' '"""-~-• --"--~ rrfirov'!9~·B0TH ·square\fbd~geio(~_--r,e'a,ofSvkoiki· UA!iQ-Valuatibri·(L:!abor.&.Material_s)j ~Amounf&t.sa-Et:·:_·· .:Li/_,_r_ro~?=---F ______ _ ~~..,....;;.:""""'~·---:-. j)() jr~e;,c(ri_b'~il.260tJD / Date Received: i"""'l ~©~~w~ n 0 ~ ~ APR 2 1 2016 u TOWN OF VAIL ((.J;tJ '"T f'/2~ r;:l.fCtfl£, P.pf2UCI9ifiDN j VjZif 1fp . . ~R~eN Al\li ~~ R1.1\)"> to 6" JNSTAt.u;P petl N'6~ Z~llf. ~~\~U~ ' ' ' . rs lfl.EA-rtfiJ~ f/Usri4LU+TtDN AO 1'6MpcMIL/, w c tziNq PeR. Nee, J+n:nl.z.E S:l!:, I .z O 1 • 2. 'Z 1 • ~ 2_ ~ "fJ 'J {), 1\ (.D) •· A T"/f'l~L--~tec.,T~tCJ+L.-Lblt:> CALCUlA-il~ I 0 iUt:m.. ili-A<~ 11\1; l~iAUA7~ tr ~ f?7>ft t6rr ~~..~ JtE:,Ce~Prt, c.AN 'i s-e .:$"lff"a..eP ~Ll~ n> me ~~/ / ~L t~Pr1ttRC cr-~ fl-~'tCT