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HomeMy WebLinkAboutElectrical Application_2.pdfTOW110f9 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 Street Address: J_ . ~ t ~ 1 fm7e!) 1~~.e µ/4/1J, /tb,, (Suite#) Building/Complex Name: Tj /::-s /= BC-4\fe ::grd.1 Project lnformati~ / . f ~ } ' /1 OwnerName: !f1tt~+-~~J,c'1J ~Y Parcel # cP--f 0 -a / I 4-/562.Zf (For Parcel Eagle County Assessors Office at (970)328-8640 or visit ecounty.u p Project#:----------------- Building Permit#:-------------- Electrical Permit#:-------------- Lot#: Block# Subdivision:-------- Define Scope and Location of Work:-------- Co"ved-l1-c· .... .,IJ 2.._o 0 mf c;cc ... dr A3J -l i AL\O irdo 1.'-\c voH 70Gnf c ;rw:ils vd;\lzh · I :::e>o' rl j,..,'6 ""'i cl 1 c...hao.--6io't bee clar t 11 Contact Name: wt~ tAL1L ~ I "i"P£ c . Ex±en J !;X1shn6 1'2-o \Jolt '1.-0 4D"f cir ~-City State: ~-~. ----1 c\e . .,.:u in 1.."IO ye\t r.Jioir bo:.elt <1Q crep« Contact Phone: ?[zc;;.:= ~ ifs 'Bi fo( \"\P\ I 'DR\; e-c,~c · L ' 11 (use additional sheet if'necessary) Contact E-Mail: f"\ I y @ r<\ 0 en 0 er .. C..o ro !-------------------------' I hereby acknowledge that I have read this application, filled out in full the 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, and to build this structure according to the town's zoning and subdivision codes, design review approved, lnte ·onal Building and Residential s and other ordinances of the To applicable thereto. Includes Temporary Service: ( ) Yes ( ) No j Work Class: I New ( ) Addition ( Remodel ( ) Repair ( ) OtherbQ ~~~LaLL.l.ll~.-.:l~..L-l.J..c.=j~~..._:,,..i.a....µ..r.f-- ·Type of Building: Single-Family ( ) Duplex ( ) Multi-Family ( ) Commercial~) Restaurant ( ) Applicant Information -......:: .. Other ( ) ________ _ Applicant Name: ~~~Ul\,..,.;;i.~__.1~~~irt==-.::..~::...,::..-='----1---------------------~ Provide BOTH square footage of area of work AND Valuation (Labor & Materials) ~2litmS:U~~~"2tbet::i~~(.4:L!~~"ount of SQ Ft.:---"~~=:::::...----------- Additional Authorized ProjectDox Users , Electrical $:.-'S=-0_0 _____________ _ Full Name: ------------------I E-Mail:, __________________ I I Date Received: -----:::::-::::;-7 -;r/i-?r\1 Full Name: ------------------ E-Mail: __________ I O ~ © ff~ D ~ij \~ u t------~, For Office Use Only: Fee Paid:------------MAR 2 "' 2016 Received From:____________ (('; ~JO Cash Check#___ TOWN OF VA\l CC: Visa/ MC Last 4 CC#____ Auth # ___ _ Rev. 2015-Dec