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Mechanical Permit Application

2. Tax Parcel Number

3. Short Plat Number/Subdivision

4. Lot

6. Email Address

7. Job Site Address

9. Owner

10. Phone Number

12. Address

14. City

15. State

16. Zip Code

18. Contractor

19. Contractor Phone

21. Contractor Mailing Address

22. Current State License

24. Type of Structure

    1. S.F.R
    2. Attached Garage
    3. Detached Garage

    1. Manufactured Home
    2. Agriculture
    3. Commercial

    1. Industrial
    2. Church/School
    3. Other

26. Explain Other

28. Type of Work

32. Mechanical Permit Fee

33. Mechanical Permit Fee
    Please insert 1 in the left column. This is the base fee in addition to the equipment selected below.

    Please insert 1 in the left column. This is the base fee in addition to the equipment selected below.

35. Number of Equipment

36. Description of Equipment
    Forced Air - 100,000 BTU or Less

    Forced Air - 100,000 BTU or Less

39. Forced Air - Over 100,000 BTU

    Forced Air - Over 100,000 BTU

42. Floor Furnace, Including Vent/Gas Logs

    Floor Furnace, Including Vent/Gas Logs

45. Suspended Heater, Recessed Wall Heater or Floor-Mounted Unit Heater

    Suspended Heater, Recessed Wall Heater or Floor-Mounted Unit Heater

48. Each Appliance Vent Not Included in Appliance Permit

    Each Appliance Vent Not Included in Appliance Permit

51. Repair or Alteration of Drainage or Vent Piping, (Each Fixture)

    Repair or Alteration of Drainage or Vent Piping, (Each Fixture)

54. Repair, Alteration or Addition to each Heating Appliance, Refrigeration Unit, Cooling Unit, Absorption Unit or each Heating, Cooling, Absorption, or Evaporative Cooling System, including installation of controls regulated by this code.

    Repair, Alteration or Addition to each Heating Appliance, Refrigeration Unit, Cooling Unit, Absorption Unit or each Heating, Cooling, Absorption, or Evaporative Cooling System, including installation of controls regulated by this code.

57. Boiler or Compressor to and including three horsepower, or each Absorption System to and including 100,00 BTU per hour

    Boiler or Compressor to and including three horsepower, or each Absorption System to and including 100,00 BTU per hour

60. Boiler or Compressor over three horsepower to and including fifteen horsepower (or3.1 to 15 tons cooling), or each Absorption System over 100,000 BTU per hour and including 500.000 BTU per hour

    Boiler or Compressor over three horsepower to and including fifteen horsepower (or3.1 to 15 tons cooling), or each Absorption System over 100,000 BTU per hour and including 500.000 BTU per hour

63. Boiler or Compressor over fifteen horsepower to and including thirty horsepower (or 15.1 to 30 tons cooling), for each Absorption System over 500,000 BTU per hour to and including 1,000,000 BTU per hour

    Boiler or Compressor over fifteen horsepower to and including thirty horsepower (or 15.1 to 30 tons cooling), for each Absorption System over 500,000 BTU per hour to and including 1,000,000 BTU per hour

66. Boiler or Compressor over 30 horsepower to and including 50 horsepower (or 30.1 to 50 tons cooling), for each Absorption System over 1,000,000 BTU per hour to and including 1,750,000 BTU per hour

    Boiler or Compressor over 30 horsepower to and including 50 horsepower (or 30.1 to 50 tons cooling), for each Absorption System over 1,000,000 BTU per hour to and including 1,750,000 BTU per hour

69. Boiler or Compressor over fifty horsepower to and including thirty horsepower (or 50.1 tons cooling or more), for each Absorption System over 1,750,000 BTU per hour

    Boiler or Compressor over fifty horsepower to and including thirty horsepower (or 50.1 tons cooling or more), for each Absorption System over 1,750,000 BTU per hour

72. Air Handling Unit to and including 10,000 cubic feet per minute, including Ducts attached thereto. Note that this fee shall not apply to an Air Handling Unit which is a portion of a factory-assembled appliance, cooling unit, evaporation cooler or absorption unit for which a permit is required elsewhere in this code.

    Air Handling Unit to and including 10,000 cubic feet per minute, including Ducts attached thereto. Note that this fee shall not apply to an Air Handling Unit which is a portion of a factory-assembled appliance, cooling unit, evaporation cooler or absorption unit for which a permit is required elsewhere in this code.

75. Air Handling Unit over 10,000 cubic feet per minute

    Air Handling Unit over 10,000 cubic feet per minute

78. Evaporation Cooler other than portable type -

    Evaporation Cooler other than portable type -

81. Ventilation Fan connected to a single duct

    Ventilation Fan connected to a single duct

84. Ventilation System which is not a portion of any heating or air-conditioning system authorized by permit

    Ventilation System which is not a portion of any heating or air-conditioning system authorized by permit

87. Installation of each hood which is served by mechanical exhaust, including the ducts for such hood

    Installation of each hood which is served by mechanical exhaust, including the ducts for such hood

90. Domestic-type Incinerator

    Domestic-type Incinerator

93. Commercial-type Incinerator

    Commercial-type Incinerator

96. Each appliance or piece of equipment regulated by this code, but not classified in other appliance categories, or for which no other fee is listed in this code

    Each appliance or piece of equipment regulated by this code, but not classified in other appliance categories, or for which no other fee is listed in this code

99. Gas Piping (1 - 4 Outlets)

    Gas Piping (1 - 4 Outlets)

102. Additional Gas Piping (Above the Original 4 Outlets)

     Additional Gas Piping (Above the Original 4 Outlets)

105. Hazardous Process Piping(HPP) (1 to 4 Outlets)

     Hazardous Process Piping(HPP) (1 to 4 Outlets)

108. Additional Hazardous Process Piping (HPP)(Above the Original 4 Outlets)

     Additional Hazardous Process Piping (HPP)(Above the Original 4 Outlets)

111. Nonhazardous Process piping (NPP)(1 to 4 Outlets)

     Nonhazardous Process piping (NPP)(1 to 4 Outlets)

114. Additional Nonhazardous Process Piping (NPP)(Above the Original 4 Outlets)

     Additional Nonhazardous Process Piping (NPP)(Above the Original 4 Outlets)

117. Wood Stove/Pellet Stove (No New Home Construction)

     Wood Stove/Pellet Stove (No New Home Construction)

119. Please print and keep this form for your records before submitting.

     Please print and keep this form for your records before submitting.

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121. 1. Receive an email copy of this form.
122. Email address

     This field is not part of the form submission.

123. Submit Submit and Print

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