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HomeMy WebLinkAboutE16-0157_2.pdf"' TOWN OF VAIL A ..! 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 {Number) (Street) (Suite#) Building/Complex Name: 12-e.s 1 ~(' tJ t't /JJ ~Qy-1 Project Information\ 1 s I ' Owner Name: b (, f0 f>.? I 5. _e A _ I $ ( Parcel # :;). I 0 S I l/ ;;). 0 L/ 0 d-""£ (For Parcel 'Ii, contact Eagle County Assessors Office at (970)328-8640 or visit www.eaglecounty.us/patie) Contractor Information Business Name: tJ. 0 'V'l-'I 'E' o VJ 10-e V' Busine~s f ddr7f: P P • \?:,.o?r d <(S I City V t~'>f State: C o Zip: <l J fo SO Contact Name: _)) ~ J..J ru-' I C J~:, f ISL Contact Phone: 5i_ l D 3 3 / 5' tj__ 2 Z. Contact E-Mail: J€_0 Q /;CEZ(]i VD z<l kl-e fs,C I hereby acknowledge that l 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. J agree to comply with the infor- mation and plot plan, to comply with all Town ordinances and state laws, _1_.j:l.!Ju..wLUJ.1mild~this structure according to the town's zoning and subdivision codes,. des1g view approved, ternational Building and Residential J"-wJ=S!..s.!:!a~nd othe ordina ces of Town applicable thereto. Full Name: ------------------- E-Mail:. ____________________ _ Full Name: ------------------ E-Maif:. __________________ _ For Office Use Only: Fee Paid: _________________ _ ReceiVed From:--------------- Cash Check# ____ _ CC: Visa I MC Last 4 CC # ___ _ Auth# ___ _ Rev. 2015-Dec Praject#: _________________ _ Building Permit#: ______________ _ : Efectrical Permit#: -------------- . Lot#: Block# Subdivision: _______ _ Define Scope and Location of Wprk: -------- Mo V-€.. ~I e..c... f J.'9 1 c_ J? f <(L--- 0 ye tt S. 0 f "b~ S + V L\ c_ t ! 0 IV I ,· 'K~r Q 6-. (_R.. G /-e c.-t r ~ L J2 l 0 . Q V-e a_£. ~{ (!D fJ 5, f v< u.c. t-'1 o tJ fl C> N e..u.J Lo M> (use additional sheet if necessary) Includes Temporary Service: ( ) Yes ~No , Work Class: New ( ) Addition ( ) Remodel>¥ Repair ( ) Other( ) _____________ _ Date Received· rro1r~~©~~j""";:;'O~W/~~----lr:\- n AUG 04 2016 @ TOWN OF VAIL