HomeMy WebLinkAboutE17-0006 Permit.pdf Town of Vail
REVIEWED FOR COD _
COMPLIANCE . Department of Community Development
75 South Frontage Road West
TOWN OF VAI1 Date: _7/ �_ �__� Vail, CO 81657
Tel: 970-479-2139
By:______,......2_ a www.vailgov.com
Uode: ELE - -RICAL--P.ERMIT
Electrical Permit Submittal Requirements Including Heat Tape Installation
—Floor plan/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 Ad i1
l
2 R9 /l /-1-0 ,) (— Project#:
(Number) (Street) (Suite#) Building Permit#: _
Building/Complex Name: /nec g f 1 003h_
Electrical Permit#:
Project Information:
Owner Name: –1-0V Lot#: Block# Subdivision:
}Parcel# 2 lc 1 G '�pd Cyd I 1
(For Parcel#,contact Eagle County Assessors Office at(970)328-8640 or visit Define Scope and Location of Work:
www.eaglecounty.uslpatie) 6
Contractor Information--t- /� �71 �A1 C ' 'T i r) L, , #Lark
Business Name: 1 r I�jl' o s Cl `e_\ry rekCG /
Business Address: 03 2 S ) / rd SLA(R– 1- -.
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City Cy�S U Y� State:) Cs.-= Zip: �10 7 .
Contact Name: l.� o / _ic i rer.
Contact Phone: 570f --L3 530 -3``105
Contact E-Mail: f r; ila,,S-� Ca Po-i-- lr,o i (-Lir.--
,
-Lc;/� (use additional sheet if necessary) my mmv
0 3.
I hereby acknowledge that I have read this application,filled out in full the Includes Temporary Service: (C)Yes 0"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 pl n,to comply with .II Town ordinances and state laws, Work Class:
and to bu'.this s c acture accqrding `• the town's zoning and subdivision New(Q) Addition (C) Remodel(Q Repair
codes,d=-'gn r ieW ap tov-ti In - national Building and Residential
C.•:-. - . oth o ina s•f th-ow applicable thereto. Other(0)
owner/Ow er's Representative Signature(Required) 1 Type of Building: Single-Family(C) Duplex(C)
Ap.lica• Information Multi-Family(C) Commercial(C) Restaurant(C)
Other 0) ,RUS lite 4,__ C
Applicant Name:
Provide BOTH square footage of area of work
Applicant Phone: AND Valuation(Labor&Materials)
Applicant E-Mail:
1 Amount of SQ Ft.: /6)
Additional Authorized ProjectDox Users Electrical$: „ �Uv
Full Name:
E-Mail:
Full Name: Date Received:
E-Mail: RECEIVED
Fee Paid:Office Uie.-Only: ( IR 50 1-tIj U2 2017
Received From: Town of Vail
Cash Check#
CC: Visa/MC Last 4 CC# Auth #
Rev.2015-Dec
SQ-12_
- r1 Sit-(_osP-S 16, ( tt-7-7