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HomeMy WebLinkAboutAnderson Electrical Application.pdfTO~llOf9 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: 69 2 V.4 LL. V4f...J..,G'( QI? 2.ll4sA1t41t. Project#:------+""--------- (Number) (Street) (Suite#) Building Permit#:-------------- Building/Complex Name: M AM2fC, ltd I/-Electrical Permit#:------------- Project Information: Owner Name: /f.NDer?9df M4Alc '-f P Lot#: Block# Subdivision:------- Parcel# Z 16/..f/:l 'it-0'{-0/b (For Parcel#, contact Eagle County Assessor.; Office at (970)328-8640 or visit Define Scope and Location of Work: fu:>p 2-Pt.AJ.!JAW1 www.eaglecounty.us/patie} !=---------------~ADD Z.0NS' t?faPLJ,{,G tz't-/:511/Jla Contractor Information ~ r:z__ . 5(oNU 5. N 0 Uti-r Al~ 12.-6tAO'iA.L-. Business Name: r;VA/t.C>w4uC ~C... i Business Address: p (<) ~ 1.ct;l!J j \i\11 t...l ... 13& PON£" City 6DW.4{l(l Z State: CO Zip: fi / t,. I Contact Name: (Zo OLy ~VVGf.,, 'f I lo U6(Z.OA !--------------- Contact Phone: fT0-33/-C.Z./~ Contact E-Mail: f3o4eOtv4 ULfrJ&cr(l.tL@'f4HtX2·CfJtf! 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, desi view r ved, In · I Building and Residential Codes a ot r or e Town applicable thereto, (use additional sheet if necessary) Includes Temporary Service: ( ) Yes (a)No I Work Class: I New ( ) Addition ( ) Remodel<•> Repair ( ) I Other ( >--------------- 0 ~ Type of Building: Single-Family ( ) Duplex ( ) A I• t 1 ti I Multi-Family (•) Commercial ( ) Restaurant ( ) pp 1can rma on , Applicant Name: H fm:\Sf>.\A'SG..N ~b(£:16tJ~ ther ( ) _____ _ fJt. A -\ \ Provide BOTH square footage of area of work Applicant Phone: -11()-Lt'U"" \QQ AND Valuation (Labor & Materials) Applicant E-Mail: tJA\\@>J fuCk:,lR2 .@~ '. Amount of SQ Ft.: Co~ : 'l.---/ '?~2_,,,,,,,___,,.,'j!-__ _ Additional Authorized ProjectDox Users Full Name: f,VAcl t>l'fb~R-ScN E-Mail: PY~ t:..N. A.rJ~~N@ AoNf\~L--l).ltlf"\ Full Name: ------------------ E-Mail: __________________ _ ' Electrical $: ~ l.Q':r'...,.J ·I I;-----------~ I Date Received: , _ 1~------------------------., For Office Use Only: 0 ~©~O\V/f~ ~ Fee Paid:---------------- Received From:-------------- d r:oe1 - MAR 1.5 2016 Cash Check# ___ _ CC: Visa I MC Last 4 CC # ___ _ Auth# ___ _ TOWN OF VAIL Rev. 2015-Dec