HomeMy WebLinkAbout4301 Glen Falls LanePBEqq- oosl
OF VAIL CONSTRUCTION PERMIT APPLICATION FORM
Contacl the Coar?fy Assessots Office at 970-328-8il0 for Parcel #
Parcel #
Permit #
Job Name:
Building ( )
Legal Description:
Owners Name:
Architect:
Description of Job:
Work Class: New Alteration ( )
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robAddress: lgot (4*r)fab, tr+tJe E,VTVL-
rhmbing (S
I Block
0o
Number of Dwelling Units:
Number and Type of Fireplaces:Gas Appliances
BUILDING:
PLUMBING
Gcneral Contractor:
M@sr:
ELECTRICAL: $
BwcHeucai,,illgo..rc
OTHER: $
TOTAL $
CONTRACTOR INFORMATION
TownofVailRegistrationNo. /q? -k Phone#
Electricrl Contractor:
Town of Vail Registration No.
8!cs!i!sgsr!B@r:
Town of Vail Regisuation No.
TownofVailReeisuatont{o. Z7L- f pnon"
Phone# Y lO *
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Address: qse5f
FoRoFFrcE usE Date Recg litveu
0199BUILDING:
SIGNATURE:
ZONING:
+u Ml\Phone#'&/' /?9-- fl'|{
Additionat ( )Repair ( )Other( )
Number of Accommodation Units:
Gas Logs____Wood/Pellet
VALUATIONS
COPY
AVAILABLE
SIGNATURE:
l{AY 2.,