HomeMy WebLinkAboutE16-0136.pdf Department of Community Development
• 75 South Frontage Road West
Vail, CO 81657
TOWN 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:
S \Jc .S--f 7 Project#:
(Number) (Street) r _A (Suite#) Building Permit#:
‘161Building/Complex Name: 5SZ C/� -'[p e-Te, 0 1 3-6
Electrical Permit#:
ProOwner
Information: A- NC
/4 ^^Owner Name: y„)—['•�, c /,� `'" , : Lot#: Block# Subdivision:
Parcel# 2.1 �s 31 I C!) 3 0 0.-+
(For Parcel#,contact Eagle County Assessors Office at(970)328-8640 or visit Define Scope and Location of Work:
www.eaglecounty.us/patie)
Contractor information r
Business Name: PCZ t p p-s lF'�l 6-17C-2-1.L, c. � p` '
Business Address:
City State: Zip:
Contact Name:
Contact Phone: 11O G86 C$
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, ,Work Class:
and to build this structure according to the town's zoning and subdivision New( ) Addition(/) Remodel( ) Repair( )
codes,.design revieroved,International Building and Residential
C •- and Oth: dinanceof of th�pplicable thereto. Other( )
X !0•
Owne/Owner's Representative Signature(Required) Type of Building: Single Family( ) Duplex( )
Applicant Information Multi-Family Commercial( ) Restaurant( )
ci Other( )
Applicant Name: y
i ,,1 q Provide BOTH square footage of area of work
Applicant Phone: 9--(7 O s `r' r1 4 i AND Valuation (Labor&Materials)
Applicant E-Mail: 2fisva®A 1-}$'t~✓ '�, �'�'t'L I Amount of SQ Ft.: I l Cpa
Additional Authorized ProjectDox Users
Electrical$: 9 _scram
Full Name:
E-Mail:
Date Receiv-d:
Full Name:
E-Mail:
For Office Use Only: I P- JUL 05 2016
Fee Paid: U
Received From:
Cash Check# TOWN OF VAIL
CC: Visa/MC Last 4 CC# Auth #
Rev.2015-Dec