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HomeMy WebLinkAboutE16-0119 changed contractor.pdf Department of Community Development 75 South Frontage Road West TOWN OF UAII Vail, CO 81657 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: 1414 Moraine Drive Project#: (Number) (Street) (Suite#) Building Permit#: B16-0222 Building/Complex Name: Electrical Permit#: El 6-0119 Project Information: Owner Name: 1414 Moraine Drive LTD Lot#: Block# Subdivision: Parcel# (For Parcel#,contact Eagle County Assessors Office at(970)328-8640 or visit Define Scope and Location of Work: www eaglecounty.uslpatie) .. ...... , _..... .. ..._.. ,__. New Single Family Residence Contractor Information Business Name: Pro-Electric Incorporated Business Address: 1616 Mount Evans Drive City Leadville State: CO Zip: 80461 Contact Name: Randy Flores Contact Phone: (970) 390-6209 Contact E-Mail: rpro65@yahoo.com (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, Work Class: and to build this structure according to the town's zoning and subdivision New(e) Addition( ) Remodel( ) Repair( ) codes,design review approved,International Building and Residential Codes and other ordinances of the Town applicable thereto. I Other( ) X � �.. .. Owner/Owner's Representative Signature(Required) Type of Building: Single-Family(S) Duplex( ) Applicant Information Multi-Family( ) Commercial( ) Restaurant( ) Applicant Name: Brian Gillette Other( ) 970.390.7981 Provide BOTH square footage of area of work Applicant Phone: AND Valuation(Labor&Materials) Applicant E-Mail: brian_gillette@gillettellc.com 4752 Amount of 50 Ft.: Additional Authorized ProjectDox Users Electrical$:75,000 Full Name: E-Mail: Full Name: Date Received: E-Mail: For Office Use Only: RECEIVED Fee Paid: NOV 1 / 2016 Received From: Cash Check # CC: Visa/ MC Last 4 CC # Auth # Town of Vail Rev.2015-Dec