HomeMy WebLinkAboutE17-0055.pdf Department of Community Development
75 South Frontage Road West
TOWN OF VAIL di°
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 _Occupancy Group listed on plans
_Load Calculations and one-line diagram when loads or circuits are being added _Building Type
NOTE:For Multi-Family and Commercial buildings—plans and calculations must be prepared by a Colorado Licensed Electrical Engineer
Project Street Address:
Project#:
(Number) (Street) (Suite#) Building Permit#:
Building/Complex Name: E-1 ` 0 6
Electrical Permit#: 1
Project Information:
Owner Name: Town Of Vail/C Dot Lot#: Block# Subdivision:
Parcel#
(For Parcel#,contact Eagle County Assessors Office at(970)328-8640 or visit Define Scope and Location of Work: New street lights
www.eag l ecou nty.us/patie)
under the bridge and round abouts
Contractor Information
Business Name: W L contractors
Business Address: 5920 Lamar st
City Arvada State: CO Zip: 80003
Contact Name: Jeff DeDisse
Contact Phone: 720 219 7092
Contact E-Mail:jeff@teamwl.com (use additional sheet if necessary)
I hereby acknowledge that I have read this application,filled out in full the Includes Temporary Service: (1)Yes 1.)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:
and to build this structure accordin. to the town's zoning and subdivision
codes,design rev. appy - = national Building and Residential New( ) Addition(� ) Remodel(`i Repair(( )
Code o ordina te Town applicable thereto. Other((')
0 e wner's Representative Signature(Required) Type of Building: Single-Family((; Duplex(C)
pplicant Information Multi-Family(; ) Commercial (C) Restaurant(C)
Applicant Name:
Town of Vail/Cdot Other c ) Roadway
Provide BOTH square footage of area of work
Applicant Phone: AND Valuation(Labor&Materials)
Applicant E-Mail: Amount of SQ Ft.:
Additional Authorized ProjectDox Users Ano
Electrical$:
Full Name:
E-Mail:
Date Received:
Full Name:
E-Mail:
For Office Use Only:
Fee Paid:
Received From:
Cash Check#
CC: Visa/MC Last 4 CC# Auth #
Rev.2015-Dec