Fillable Mechanical Permit 704 Fourth Street / PO Box (Town of Mills)

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Mechanical Permit 704 Fourth Street / PO Box (Town of Mills)

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Country of origin: US
File type: PDF

U.S.A. forms for Town of Mills

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Town of Mills Permit #_________________
704 Fourth Street / PO Box 789
Mills, WY, 82644 Fee $_________________
307-234-6679
Permit Issued Subject To Provisions of Town Ordinance
Mechanical Permit
PROPERTY INFORMATION
OWNER:
ADDRESS:
CITY:
STATE:
TELEPHONE:
CELL:
PERMIT INFORMATION VALUATION:
This Mechanical Permit □ SINGLE-FAMILY, DUPLEX OR TOWNHOUSES (RESIDENTIAL ONLY) □ MIXED-USE
Involves: (Select One) □ MULTI-FAMILY (RESIDENTIAL ONLY) □ COMMERCIAL OR INDUSTRIAL (NON RESIDENTIAL)
This Mechanical Permit □ CONSTRUCTION OF NEW BUILDING □ ALTERATION OR ADDITION TO AN EXISTING BUILDING
Relates To: (Select One) □ CONSTRUCTION OR MODIFICATION OF A NON- BUILDING STRUCTURE
Has a Building Permit Been Obtained for this Project? : □ YES □ NO □ NOT REQUIRED PERMIT #
Type of Fuel: OIL □ NATURAL GAS □ LPG (Liquefied Petroleum Gas) □
No.
TYPE OF EQUIPMENT
No.
TYPE OF EQUIPMENT
No.
TYPE OF EQUIPMENT
Air Conditioner Units
Ea.
Pallet Stove
Commercial Clothes Dryer
Refrigeration Units
Ea.
Wood Stove
Commercial Ventilation Fan
Boiler Units
BTU Ea.
Wall Heaters
BTU Ea.
Commercial Range Hood
Gas Fired AC Units
Tonnage Ea.
Floor Heaters
BTU Ea.
Commercial Air Handling Unit
CFM
Forced Air System
BTU Ea.
Unit Heaters
BTU Ea.
Solar Heating or Cooling Unit
Evaporative Coolers
Commercial Incinerator
CONTRACTOR INFORMATION
NAME:
ADDRESS:
CITY:
STATE:
ZIP CODE:
TELEPHONE:
CELL:
OR □ OWNER IS CONTRACTOR
APPLICANT SIGNATURE:
APPLICATION DATE:
TOWN OFFICIAL
APPROVAL SIGNATURE:
APPROVAL DATE:
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Mechanical Permit 704 Fourth Street PO Box (Town of Mills)

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Completed 31 January 2021

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