Fillable City of Sumner Mechanical & Plumbing Permit Application (City of Sumner)

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City of Sumner Mechanical & Plumbing Permit Application (City of Sumner)

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File type: PDF

U.S.A. forms for City of Sumner

BROWSE CITY OF SUMNER (WA) FORMS

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City of Sumner
Mechanical & Plumbing
Permit Application
Community Development
cd@sumnerwa.gov
(253)299-5530
www.sumnerwa.gov
Permit Type:
Commercial (pdf)
or
Residential
MINIMUM SUBMITTAL REQUIREMENTS FOR COMMERCIAL PROJECTS: signed application, detail drawings, site plan, fixture units and sizes as required. **Exterior building elevations and
screening details - applicant must show or describe how the rooftop and/or above ground mechanical units will be screened from streets, sidewalks, trails and neighboring properties.
SUBMIT APPLICATIONS ELECTRONICALLY BY FOLLOWING OUR CITY OF SUMNER ELECTRONIC SUBMITTAL REQUIREMENTS:
Site/Project Address (if available):
Parcel #:
Owner:
Phone:
Email:
Owner Address:
City:
State:
Owner Zip:
Surveyor/Engineer/Contractor:
Phone:
Address:
Email:
City:
State:
Zip:
Contact Person:
Phone:
Fax:
Contact Address:
Email:
City:
State:
Contact Zip:
Description of Project:
Plumbing (please indicate the number of new or relocated fixtures)
Bathtub
Gray Water System Pool or Spa (circle one)
Clothes Washer Grease Interceptor/ grease trap Reclaim Water System
Dishwasher
Hose Bibs Shower
Drinking Fountain Rain System Shower/Tub Combo
Drains Sinks Toilet
Water Heater Water piping & treatment Urinal
Other
Water Service (size of pipe inches
Backflow Preventer: (size
inches) DCVA
RPBA
Describe:_
Total Number of Fixtures
Mechanical
(please indicate the number of new or relocated appliances)
Air Handling Unit Fans
Air conditioner Furnace Other
Appliances Fireplace Refrigeration Equipment
Boiler/Compressor/ Roof Unit Floor Furnace Unit Heater
> 50hp / >1.75M Btu/h Gas Piping (# of outlets) Appliance Vents - Single Duct
> 30hp / >1 - 1.75M Btu/h Heat pump Medical Gas Piping
> 15hp / >500 - 1M Btu/h Comm. Kitchen Exhaust Hood
> 3hp / >100 - 500 Btu/h
(type:_
)
<3hp / <100,000 Btu/h Water Heater Total Number of Fixtures
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL
PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN
OR NOT.
**BY LEAVING THE CONTRACTOR INFORMATION SECTION BLANK, I HEREBY CERTIFY FURTHER THAT CONTRACTORS (GENERAL OR
SUBCONTRACTORS) WILL NOT BE HIRED TO PERFORM ANY WORK IN ASSOCIATION WITH THIS PERMIT. (Building permits only)
DATE:
/
/
SIGNATURE OF OWNER / AUTHORIZED AGENT PRINTED NAME
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City of Sumner Mechanical & Plumbing Permit Application (City of Sumner)

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Completed 16 July 2020

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