HomeMy WebLinkAboutE16-0181.pdf Department of Community Development
,... I , 75 South Frontage Road West
Vail,CO 81657
TOWN OF VAIL A ''' - 4 ' Tel: 970-479-2139
wwwvailgov.com
ELECT! ICAL 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 EIectrical Engineer
Project Street Address:
I33b GNktab5rt..' -PL. tZ Project#:
(Number) (Street) (Suite#) ' Building Permit#:
Building/Complex Name: byiat,L Electrical Permit*: 01 0 I < I
Project information: /�
Owner Name: .1+155 4- Alf N TQl-Ld►ilt- Lot# Block# Subdivision:
Parcel# 2tog — 121 — 2 CX ,
(For Parcel#,contact Eagle County Assessors Office at(970)328-864D or visit Define Scope and Location of Work: L-i ru L
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wvrw.eaglecounty.usfpatie)
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Contractor Information
tV-kii -t- Cr,�� � o-v�t A.�a lis
Business Name:
Business Address: r� CC 1251 ' ' vv. _- A t_
City VAS L State: Zip: 15165'6
Contact Name: -P.:44&4 D West..t...0 talte LI.-
Contact Phone:
q÷c�— g —MV7 '
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Contact E-Mail:±r t 1 T E. t _-t r tit�i dditional sheet if necessary)
I hereby acknowledge that I have read this application,filled out in full the Includes Temporary Service: ( )Yes p<No
information required,completed an accurate plot plan,and state that all
the information as required is correct 1 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 according to the town's zoning and subdivision ( ) Addition( ) p Remodel�Q Repair codes,-d:-ign re -w approved,International Buildin• and Residential New ( )
Codes - d - "rdin i es of the To app- -:- i ereto- Other( )
X ':
- Type of Building: Single-Family( ) Duplex( )
Ow -r/Owner's Representative Signature(R:.uired)
Applicant information a Multi-Family( ) Commercial( ) Restaurant( )
Other( )
- Applicant Narne: 1 S IVs l,J. lir e....
Applicant Phone: 2 I C( " �-3 O-7,b 5�,0 �Provide BOTH square footage of area of work
('�J n AND Valuation(Labor&Materials)
Applicant E-MaiI:D�4l1Pe,1'.T (c) 4-•C51.LAA.A. Amount of SQ Ft: 3 5 0
Additional Authorized ProjectDox Users Electrical$: I 14�000 ,
Full Name:
E-Mail:
bate Received:
Full Name:
E-Mail:
For Office IIse Only: /
Fee Paid:
Received From: Jib II
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(5- -
Cash __—. Check#/ I 1�
CC: Visa/MC Last 4 CC# Auth-# + ID t
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Rev.2015-Dec B OW N .1 r :. i