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HomeMy WebLinkAboutE16-0162.pdf Department of Community Development 76 South Frontage Road West TOWN OF VAIL '. Vail,Vail,CO 81667 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: Df. Project#: (Number) (Street) (Suite#) Building Permit#: Building/Complex Name: Electrical Permit#: �,,-- C 1 0 - Project Information: Owner Name: ,®a 6 ' req kle__ Lot#: Block# Subdivision: Parcel# .":Q / g 2 i Bp o' (For Parcel#,contact Eagle County Assessors Office at(970)328-8640 or visit Define Scope and Location of Work: vAvw.eaglecounty.us/patie) Contractor Information //�� Il ii Business Name: /(LSF- /' /4 �-e -J)2-t Sc-J-1)' (- - a r � kr �U Ul y. Businesddress: 31_- 1-1-NG� t� /2.0 (row rc,.�11 Jr jr. / City 5// (//l f State: C,e) Zip: e/'&3/ 1 a-2-Ac_..k,nc a`- - ' -• L Gcic P ( J l Contact Name: l/U/IV kVA-hii . Co r\C�Lii,t C &-)c 1'-e----. Contact Phone: ( ?70)�ts2 l) " 37c- Contact E-Mail: (,2�G e L'o )-0 i• (...-44,---' (use additional sheet if necessary) I hereby acknowledge that I have read t is application,filled out in full the Includes Temporary Service: ( )Yes ()C)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 04 codes,design reyieOgipproved,Inter atio al Building and Residential Codes and oth ances of th ow applicable thereto. Other( ) X �` / Type of Building: Single-Family( ) Duplex Owner/Ow ru�r�s Representative Signature(Required) Applicant Information Multi-Family( ) Commercial ( ) Restaurant( ) Other( ) Applicant Name: Provide BOTH square footage of area of work Applicant Phone: AND Valuation(Labor&Materials) Applicant E-Mail: Amount of SQ Ft.: -27Z1/ -St -�} Additional Authorized ProjectDox Users _S-00c o Electrical$: , Full Name: E-Mail: Full Name: Date Received: E-Mail: For Office Use Only: ( ' 6---- --, (i © z PV f Fee Paid: Received From: AUG 1 5 2016 f Cash Check # f CC: Visa / MC Last 4 CC # Auth # Rev.20154,_ TOWN OF v/a1I L.