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HomeMy WebLinkAboutE16-0113 Danici Electric.pdf Department of Community Development 75 South Frontage Road West TOWN OF VARA 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: ..630 vO I L Project#: (Number) (Street) (Suite#) Building Permit#: Building/Complex Name: Electrical Permit#: 6 -0/ ( 3 Project Information: ,- G9LL`�(� Owner Name: {'� - - Lot#: Block# Subdivision: Parcel# .167 i 4 a® t4O1 Cf . (For Parcel#,contact Eagle County Assessors Office at(970)328-8640 or visit Define Scope and Location of Work: / www eagiecounty.us/patie) Contractor Information�y Business Name: 1(// I wi 6 e(' : Business Address: --U d AO ' Z /�,n City gI�'���(9�� /State,:p�l/�:.J Zipa4 Contact Name: ^�J9 { vOLi.l tr z j Contact Phone: /9 39 0---/ 17J '� `l (use additional sheet if necessary) Contact E-Mail i L( it 1�iG�hU� 4.�Mg�G(.�59 I hereby acknowledge that I have read this application,filled out in full the Includes Temporary Service: (C)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 codes,design review approved,International Building and Residential i New(C) Addition(C) Remodel(C) Repair(C) Codes and—r ordinances of too-or o • • - •-reto. Other(C`) X aim Owner/Owner's Representative Signature(Required) Type of Building: Single-Family(( Duplex(r; Applicant Information Multi-Family(C) Commercial(C) Restaurant(() Other(^) Applicant Name: Provide BOTH square footage of area of work Applicant Phone: AND Valuation(Labor&Materials) i Applicant E-Mail: Amount of SQ Ft.: r ( 0 0 Additional Authorized ProjectDox Users Electrical$: t'f"G 00 0 Full Name: E-Mail: Date Received: Full Name: E-Mail LS © f M (` For Office Use Only: D Fee Paid: 5Cy 2 Received From: 1016 Cash Check# CC: Visa/MC Last 4 CC# Auth# Rev.2015-Dec TOWN OF VAIL