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HomeMy WebLinkAboutE16-0209.pdf '-`, _'' Department of Community Development l r : ,' ) ,", _� 75 South Frontage Road West tVail, GO 81 657 TOWN T� OF Tel: 970-479-2139 www.vailgov.com ELECT!fCA.L PERI f T Electrical Permit Submittal Requirements Including Heat Tape Installation _,Floor plan I Site plan showing proposed work __Occupancy Group Iisted on plans Load Calculations and one-line diagram when loads or circuits are being added Building Type NOTE:For Mulfi-Family and Commercial buildings—plans and calculations must be prepared by a Colorado Licensed EIectricaI Engineer Project Street Address: — / p/ main) /©/ . Project#. (Number) (Street (Suite f ' Building Permit#: Building/Complex Name: ✓�1' !' A0(f`' 63- ,6 ' Electrical Permit#: 7� a? Project Information /1 Owner �S6-1?"4061-7`� . Lot#: Block# Subdivision: • Pacel# 9(O(o "F on ( (For Parcel#,contact Eagle County Assessors ezriee at(970)328-864D or visit Define S spa - s Location of Work: 1 _""-i°0. AO w+aw.eaglecounfyuslpafe) Contractor Information I/ �� ) J ABusiness Name: e 1 1"�a 1E l,/ �Y1� 4 if Business Address: Mr IA �.�► Awn _, `r • A City _ e(,_ I Stat-: _6 ZP:cr/6 " Contact Name: .Ad . ' d • Contact Phone: /020- E .�V Contact E-Mail: ,i,d// / .../ II 'A, use additional sheet>t necessary) I hereby acknowledge that I have read this application,filled out in full the Includes Temporary Service: ( )Yes A No information required,completed an accurate plot plan,and sidie that all the information as required is correct. I agree to comply with the infor- 1 mation and plot plan,to comply with all Town ordinances and state laws, Work Glass: and to build this structure-:.cording to the town's zoning and subdivision New Addition R- odel Repair codes,•design r- -ew_;• ved,I -rnaiional Building and Residential ( ) ( ) ( ) p ). Codes -^- . ,•-•'o .' _. es own applicable thereto") Other( ) �� /, j i - •• / • Owner), e/Represe ' e Signature(Required) Type of Building: Single-Family( ) Duplex( ) Applicant Information L Multi-Family( ) Commercial(,u Restaurant( ) FOther( ) J, Applicant Name: 1 (e),7,4„,(41.7 ; — -- __ ___ — — _..--- ----- __ � �" _ 7 - I Provide BOTH square footage of area of work Applicant Phone: 9 5'( ,�� �,,crt�j 3_,(_ 7� liAI+ID Valuation(Labor&Materials) Applicant E-Mail: F,Jit' 2 PPf?J• tH / _ CiiegC/+�f'le /Amount of S t: /6-6.° Additional Authorized ProjectDox Users :Electrical$ n r3o Full Name: ✓ 01 ���� r r E-Mail: Date Received: Full Name: E-Mail: 2CrFf1M j For Office'Use Only: I j` D I I Fee Paid: � y J Received From: 2016 Cash "---- Check# CC: visa MC Lash CC# Auth# TOWN OF VAIL Rev 2015-Dec