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Mechanical Permit Application
This form has been modified since it was saved. Please review all fields before submitting.
Steps
1.
Step One
This section is complete
This section is incomplete
2.
Step Two
This section is complete
This section is incomplete
Step One
Mechanical Permit Application
(Office use only)
Date Recieved
(Office use only)
Application Number
Project Address
*
Brief Description of Work
*
Applicant Information
*
Owner
Contractor
Other
First Name
*
Last Name
*
Address
*
City
*
State
*
Zip Code
*
Phone Number
*
Fax Number
Email Address
Designer Information
*
Architect
Designer
Engineer
Name
Email Address
Address
City
State
Zip Code
Phone Number
Fax Number
Project Contact Person
First Name
Last Name
Phone Number
Fax Number
Email Address
Contractor/Owner-Builder Information
*
Contractor
Owner-Builder
Company Name
State License #
Expiration Date
Snoqualmie Business License #
Address
City
State
Zip Code
Phone Number
Fax Number
Email Address
Property Information
Assessors Parcel Number
Lot
Block
Subdivision
Use Zone
Flood Zone
Legal Description
Lending or Bonding Information
(Required if a job specific bond equal to at least 50% of the project is acquired or if a lender has security interest in this project.)
Name of Institution
Address
City
State
Zip Code
Phone Number
Continue
Step Two
Type of Construction
Occupancy
Fire sprinklers
Yes
No
Existing use
Proposed use
Description of work (Please check all that apply)
New building
Move building
Tenant improvement
Addition
Alteration
LPG
Low pressure gas
Medium pressure gas
High pressure gas
Fuel gas piping
Smoke dampers
Exhaust system
Unlisted appliance
Used appliance
Antique appliance
New electric heat
New gas heat
Residential
Non residential
Describe new appliances (Appliance # 1)
BTU
Appliance #2
BTU
Appliance #3
BTU
Appliance #4
BTU
(Use supplemental sheet for additional appliances)
Total BTU for existing appliances
Main fuel pipe size
3/4"
1"
1-1/4"
1-1/2"
2"
2-1/2"
3"
Description of building
Office/Bank/Professional
Police/Fire station
Hotel/Motel
Restaurant/Bar
Amusement/Recreation
Service station
Industrial
Church/Assembly
Accessory building
Retail
Educational
Commercial storage
Single family
Duplex/Triplex
Apartment
Condominium
Townhouse
Appliance #1 efficiency (%)
Direct vent
Yes
No
Appliance #2 efficiency (%)
Direct vent
Yes
No
Appliance #3 efficiency (%)
Direct vent
Yes
No
Appliance #4 efficiency (%)
Direct vent
Yes
No
I certify that I have read this application and state the above information is correct. I further certify that I am legal owner or am an authorized owner's agent of the property described above. I agree to comply with all city and state Laws relating to building construction and hereby authorize representatives of the City of Snoqualmie to enter upon the above mentioned property for inspection purposes.
Signature of owner or agent
Date
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