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HomeMy WebLinkAboutE16-0248.pdf 'I6 - 03g5 — Department of Community Development 75 South Frontage Road West Vail, CO 81657 TOWN OF VAIL° Tel: 970-479-2139 • www.vailgov.com ELECTRICAL PERMIT 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 Adldress: /S l , L�\o /1 S / .�a c, I Project#: (Number) (Street) (Suite#) Building Permit#: 6( G -O Building/Complex Name: e-1 6 0 r ''.(<4/ ;Electrical Permit#: Project Information: Owner Name: /2 1 ,A f !Cp1 71-7 Lot#: Block# Subdivision: Parcel# Blob-lai tol� � - (For Parcel#,contact Eagle County Assessors Office at(970)328-8640 or visit Define Scope and Location of Work: www.eaglecounty.uslpatie) i41Contractor Information fke exot ,f/ / / 7,r,, ,, '&,,,, \ ,'/ n )4v_ lit---- Business Name: / 111 / i Business A dress:,R, 1/ ©yh)t�r 4 A tr to I City V-90 Y�'"\J State: Zip: i,. Contact Name: E'D In to�c3/ Contact Phone: 37.6 Contact E-Mail: , , - -- , it / 14 {vse additional sheet if necessary) I hereby acknowled.- -. I have read this application,filled out in full the Includes Temporary Service: (C )Yes C No information requi •:,com.leted an accurate plot plan,and state that all the informatio .s requir-d is correct. I agree to comply with the infor- mation and .of plan, . comply with all Town ordinances and state laws, Work Class: and to buil, this s- .. tur-.accordin. ._ gacrv.: zoning and - subdivision New(C ) Addition (C) Remodel(C) Repair(C ) ^' ,f roved,I -rn.�:z+i�r. . . sider;tial__ Codes arr: ; ordi fnces oft - Town appli ..le thereto. Other(C) /7V/eta/to/J idi_e�i in �' Type of Building: Single-Family Duplex(n .. -r/wner's Representative Signature(Required) App' ant Information Multi-Family(C) Commercial estaurant(C) Other 1) A..licant Name: 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 8a /_. , Electrical$: J ice' Full Name: E-Mail: Date Received: Full Name: \ E-Mail: For Office Use Only: 4 , Him io UMoi RECEIVED Fee Paid: l(� Received From: 910Z LZ AON `oV 1 -I 2016 Cash Check# CC: Visa/MC Last 4 CC# Auth # a3AI3332I Town of Vail Rev.2015-Dec