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HomeMy WebLinkAboutapplication_1.pdfDepartment of Community Development 75 South Frontage Road West Vail, CO 81657 Tel: 970-479-2139 www.vailgov.com BUILDING PERMIT APPLICATION (Separate applications are required for Electrical, Alarm, Sprinkler & Public Way) Project Street Address: 4-]N~~!er) (~~:~s ~J.j1 Looy (S~t~#) Building/Complex Name: Yet cl ff,,"' t Tow11.k flMf.S Project lnformati~_: r Owner Name: (..)lt r !'\. C...s fntJ:, d l'\. G (fl.,l'r Parcel# d-(03 (3Jo 7015 (For Parcel #, contact Eagle County Assessors Office at (970)328-8640 or visit www.eaglecounty.us/patie) Contractor Information Business Name:Ca.,;rn C~nsff v-t.}lol-\ fa Wvf Business Address:PO &z!C. f J-13 City £dwa rJ. s state: _CQ __ Zip: 816 3J... Contact Name: ) 0. SOA ~ l lf £ f . Project#:----------------- DRB #: j) ffi l 6 ~ Q Building Permit#:-------------- Lot#: Block# __ Subdivision: _______ _ Work Class: New <O) Addition <0) Alteration .) Type of Building: Single-Family (Q Duplex 0 Multi-Family a Commercial (Q Other (Q 8 cl • \/8 Town Jio11t1 f. Work Type: Interior A Exterior <I> Both • Valuation of Contact Phone: 'f 1q 3q' 'f Q, 3 Contact E-MaiSJA~Cfdl.O:f\Sf1v-chonjfC>i.p, COi>") Work Included Plans Included Work .Yes 0No Oves 0No 3"' (}a; .ao 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, International Building and Residential Codes and other ordinance of the Town applicable thereto. E-Mail: __________________ _ Full Name: ------------------ E-Mail: ------------------~ (use additional sheet if necessary) For Office Use Only: Fee Paid: _______________ _ Received From: _____________ _ Cash Check # ___ _ CC: Visa I MC Last 4 CC # ___ _ exp date: __ _ Auth# ___ _ Rev. 2015-Dec Mechanical Plumbing eves QNo Qves C/00#00 Building .Yes 0No Oves (use additional sheet if necessary) Date Received: ~~~©-;::~;-;;-a-;:;-;v;;-f;~;-r=\ln MAY 11 2016 LJ TOWN OF VAIL