HomeMy WebLinkAboutE16-0099.pdf r
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41111'TOWN OF VAILt 1,071-
� Department of Community Development
75 South Frontage
Tel: 970-479-2139� ' ca/ti�- r -
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: /v.
/a Lie; /7 Project#:
(Number) (Street) ( �TP �� Suite#) Building Permit#: '3 (k - 0/36
Building/Complex Name: 7 42. ��--
Electrical Permit#: Com' -Oaq'7
Project Information: `
Owner Name: G.U .i e-''ti r• 3C,c i l 1 d Lot#: Block# Subdivision:
I
Parcel# I
(For Parcel#,contact Eagle County Assessors Office at(970)328-8640 or visit Define Scope and Location of Work:
www.eaglecounty.us/patie)
Ofd 0,1414
CoC C
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Contractor Information
Business Name:q/_o ,e le c-Fri-L �rA vI Business Address: (1-1 b /4'0- 'vim r S 7 c
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City 1 �� u; (� State:CO Zip: �C)UJ
III
Contact Name: ?Ana-T c(o,-tS-
ContactPhone: er 7o-3e1d -6209
Contact E-Mail: (�' -i€....)?e o e t c c-Vr i L i vi C C o :CO/1-% (use additional sheet if necessary)
I hereby acknowledge that I have read this application,filled out in full the 1 Includes Temporary Service: ( )Yes 2) 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, Work Class:
and to build this structure according to the town's zoning and subdivision New( ) Addition ( ) Remodel ( ) Repair( )
codes, ign revi w approved,International Building and Residential I.
Code d other rdinances of the Town applicable thereto. f Other bd)
O
Owner/ ner's Representative Signature(Required) ;Type of Building: Single Family( ) Duplex( )
Applicant Information Multi-Family( ) Commercial( ) Restaurant( )
Other( )
Applicant Name: (RA o A-7 4�'I n o reS
Provide BOTH square footage of area of work
Applicant Phone: 9170 3iO — Z OI AND Valuation (Labor&Materials)
Applicant E-Mail: f- rld-PF 6o P l c'C -T i`t(\C- -C.) .t O 1^-, I' I
Amount of SQ Ft.:
Additional Authorized ProjectDox Users Electrical$: 30U•°"
Full Name:
E-Mail:
Date Received:
Full Name:
E-Mail: E C E A M
For Office Use Only: 4-- iit--,
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Fee Paid: MAY 1:1
Received From: I
Cash Check#
CC: Visa/ MC Last 4 CC# Auth # -(®WN ® ��IL - g
Rev.2015-Dec