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HomeMy WebLinkAboutB18-0144.002 transmittal.pdf Department of Community Development (111 75 South Frontage Road TOWN OF VAlL h Vail, CO 81657 Tel: 970.479.2139 www.vailgov.com TRANSMITTAL FORM Use this form when submitting additional information, changes&inspection reports for building permits. This form is also used for requesting a revision to building permits. A two hour minimum building review fee of$110 will be charged upon reissuance of the permit. Submit this form only to:cdev_submittal©vailgov.com. Deliver paper plans to Community Develop- ment or upload your revised/corrected plans to the appropriate project in ProjectDox,when requested. Application/Permit#(s)information applies to: �5 — / 7t7/' ('Revisions (r)Response to Correction Letter _attached copy of correction letter ) Deferred Submittal ( )Other Project StreetAddress: nt b c'vitt re-/ 41:"teti Description of Transmittal/List of Changes, Items Attached, Indicate changed plan pages: (Number) (Street) / (Suite#) d, ^ Building/Complex Name: Ye( fi V1 jt' /771'9' k4i C/t'I) I>i 44E-1-6 gZ / Gcr 741 ug ,r ` h Applicant Information / fit. (architect,contractor,owner/owner's rep) Lt ,�,cL � x'l' ''j� � � Contact Name: ! v/,b ,r t�,C.L.��v� /twev Address:1/IiC E45-- rrV( ?c. City f-4-E State: C o�� Zip: 9/i,,13'/ (use additional sheet if necessary) Contact Name: P�IL / S/cuAv Srf_ /' Building Permits: Contact Phone: L % ) 5 7 ' 0 Revised ADDITIONAL Valuations(Labor&Materials) 1:7c.) 9 (DO NOT include original valuation) Contact E-Mail: It sal ti }x VI/ � / /SS CUAdt Building: $ I hereby acknowledge that I have read this application,filled out in full the information required,completed an accurate plot plan, Plumbing: $ and state that all the information as required is correct. I agree to comply with the information and plot plan,to comply with all Town Electrical: $ ordinances to -ws, and • build this structure according to the to s zoning ' d,: bdi 'i•i• codes, design review ap- Mechanical: $ prov , Int n-tio u 'ing ' Residential Codes and other or ' ance o h:; pp �I e thereto. Total: $ Owner/O n: 'es -se at e Signature(Required) Date Received: 21-Apr-2017