HomeMy WebLinkAboutElectrical Permit Application.pdf Department of Community Development
75 South Frontage Road West
TOWN OF 1,( 1-1115Vail, CO 81657
Tel: 970-479-2139
www.vailgov.com
ELECTRICAL PERMIT
Electrical Permit Submittal Requirements Including Heat Tape Installation
Floor plan 1 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:
-7 t p !tiN lT A. Project#:
(Number) (Street) (Suite#) Building Permit#:
Building/Complex Name: VAI L VI l�l,A�E Electrical Permit#:
Project Information:
Owner Name: 4Li of nrDE R o' Ar 1 13 ctie G Lot#: Block# Subdivision:
Parcel# Z(0( -D7Z - 11 vt5 /
(For Parcel#,contact Eagle County Assessors Office at(970)328-8640 or visit Define Scope and Location of Work: 'sc `f� r/Y '-irel.6( r',-ri
www.eaglecounly,uslpatie) /
Contractor Information rtGe ,C�s •l�z �Gws'; re�fG« r0 cni 15 !
Business Name: 4.6-L4 c le Si�lvi 5. u�/p r. / -/ /;G l�l
Business Address: Li 11c1 4�WA( Lt •2.`-{ Jec-c-t-f7 S u"shr�/.r'�•, Parr �c.:#£f��S
City ,4-11015 State: COZip: S{(-020 bcc c 4 Itirr;hryii �x�tr;7t: +t�t ih ?o.71+0
Contact Name: At//-7,7 ' L .15, rew [; 1 � , rec.¢,f.c4 .t h40. 4 't co+, c.-t10A•
Contact Phone: 697) 6/0/-S3 2.0
Contact E-Mail: /C il}/fG¢�,t/ 1t1�.F0E/LCaGviCRbo.CoM (use additional sheet if necessary)
l hereby acknowledge that I have read this application,filled out in full the Includes Temporary Service: (w 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
codes, design review approved,International Building and Residential New(C) Addition Remodel ( ) Repair( )
Codes and other ordinances of the Town applicable thereto. Other(C)
Owner/Owner's Represen'live Sirre(Required) Type of Building: Single-Family(. , Duplex(�j
Applicant Information Multi-Family r) Commercial ( ) Restaurant{ )
Other t )
Applicant Name: _,-L4 t-(-''r 41 7NTCwoert'1
Provide BOTH square footage of area of work
Applicant Phone: ( 7b) 5762- 7546' AND Valuation (Labor&Materials)
Applicant E-Mail: Flat OJT&o R'l�Evr}NSC,-//FF6 .corn Amount of SQ Ft.: Z/c
Additional Authorized ProjectDox Users
Full Name: 4lV P Y ISA LM I,vS�/ Electrical$: 35/ 1/S0E-Mail: /{-/4L}L141/,v /C( E✓HNj rglipr G..coni
Date Received:
Full Name:
E-Mail:
For Office Use Only:
Fee Paid:
Received From:
Cash Check#
CC: Visa/ MC Last 4 CC# Auth #
Rev.2015-Dec