HomeMy WebLinkAboutElectrical permit_16.pdf Department of Community Development
75 South Frontage Road West
TOWNVail, CO 81657
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 Address: 1 n
60 1�' (-Y G� -\-cf2t -e i�[� Lo 71 1 MIA Project#:
(Number) (Street) (Suite#) Building Permit#:
Building/Complex Name:lj) \..)0,J\ (CI1Ln/kr\\U Electrical Permit#:
Project Inform`afion:
Owner Name: A f��t 7 ,'NCA C C:�LL�� pry P;1 Lot#: Block# Subdivision:
Parcel# ?ilk —Z1(ling- 16'cne /c3 14 -71n1(11 ,
(For Parcel#,contact Eagle County Assessors Office at(970)328-8640 or visit Define Scope and Location of Work:
www.eaglecounty.us/patie) 11
Contractor Information ('
Business Name: i'1/IUY`-rre- lC - -De C CY` \-C Cr
Business Address:
City State: Zip:
Contact Name:
Contact Phone:
Contact E-Mail: (use additional sheet if necessary)
I hereby acknowledge that I have read this application,filled out in full the Includes Temporary Service: ( )Yes ( ) 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 plan,to comply with all Town ordinances and state laws, l Work Class:
and to build this structure according to the town's zoning and subdivision
codes, design review approved,International Building and Residential New( ) Addition(%model ( ) Repair( )
Codes and other ordinances of the Town applicable thereto. Other( )
X c\1-C QY S CC`, V of c-\
Owner/Owner's Representative Signature(Required) Type of Building Single Family( ) Duplex( )
Applicant Information i Multi-Family(4Commercial( ) Restaurant( )
\\ _ Other( )
m7
Applicant Name: � vCCC, (�Y�1w�fu,
jj Provide BOTH square footage of area of work
Applicant Phone:(\7C✓�3c —54 ' AND Valuation (Labor&Materials)
Applicant E-Mail: Amount o SQ F . .5 0 0
Additional Authorized ProjectDox Users
Electrical$: ! I 00 Q
Full Name:
E-Mail:
Date Received:
Full Name:
E-Mail: D
For Office Use Only:
Fee Paid: JUN Lid 1016
it)
Received From:
1
Cash Check#
OWN F A .
CC: Visa/ MC Last 4 CC# Auth # ��_
Rev.2015-Dec