Make BTU Input Approx. CFM Weight
FEE # ITEMS TOTAL FEE # ITEMS TOTAL
5.
a.
10.00$
a.
80.00$
b.
10.00$
2.
c.
10.00$
a.
40.00$
d.
10.00$
b.
40.00$
c.
40.00$
d.
40.00$
a.
30.00$
e.
20.00$
b.
40.00$
f.
30.00$
c.
55.00$
g.
95.00$
d.
70.00$
h. Chimney Factory Built / Chimney Liner
30.00$
i.
45.00$
j.
45.00$
7.
k.
45.00$
a.
40.00$
l.
30.00$
b.
40.00$
m.
Gas/Oil Burning Equipment/Roof Top Unit
35.00$
c.
30.00$
n.
15.00$
d.
5.00$
o.
Kitchen Hoods (add duct work)
30.00$
e.
10.00$
p.
25.00$
f.
5.00$
q.
30.00$
g.
15.00$
r.
13.00$
h.
50.00$
s.
40.00$
i.
5.00$
3.
j.
20.00$
a. 1 to 2,000 CFM
7.00$
k.
5.00$
b. 2,001 CFM to 10,000 CFM
35.00$
8
c.
65.00$
a.
20.00$
4.
b.
20.00$
a.
20.00$
c.
5.00$
b.
40.00$
c.
65.00$
This is your permit when approved by the City's Administrative
Authority. Make checks payable to "CITY OF WYOMING"
RESIDENTIAL REPLACEMENT EQUIPMENT
Air Conditioning Units / Heat Pumps
Solid Fuel Equip. (wood or fireplace stoves)
Chimneys: Factory Built Class A
Solid Fuel Equip. (wood or fireplace stoves)
A/C, Refrigeration Split System
NOTE: Any concealed work shall be inspected before being covered
ADMINISTRATIVE FEE (work w/o permit)
MESC. Employer ID (or exemption)
Water Heaters (new construction)
IV. SCHEDULE OF EQUIPMENT Attach additional equipment schedule as needed. This section is mandatory for permit issuance.
Federal Employer ID (or exemption)
CITY OF WYOMING - INSPECTIONS
III. MANDATORY: DESCRIPTION AND COMMENTS Give a detailed description of the work to be performed under this permit.
Has a building permit been obtained for this project? (check one)
Workers Compensation Insurance Carrier (or exemption)
Installer is (check one) CONTRACTOR HOMEOWNER (See "Homeowner Affidavit" below)
I hereby certify the mechanical work described on this permit application shall be installed by myself in my own house in which I am living or about to
occupy. All work shall be installed in accordance with the current Michigan Mechanical Code and shall not be enclosed, covered up, or put into operation
until it has been inspected and approved by the Mechanical Inspector. I will cooperate with the Mechanical Inspector and assume responsibility to arrange
inspections.
Licensee or Homeowner Name (please print)
Licensee or Homeowner Signature
Section 23a of the State Construction Act of 1972, Act No. 230 of the Public Acts of 1972, being section 125.1523a of the Michigan Compiled Laws, prohibits a
person from conspiring to circumvent the licensing requirements of this state relating to persons who are to perform work on a residential structure.
Violators of Section 23a are subject to civil fines.
VI. APPLICATION SIGNATURE (Homeowner signature indicates compliance with section VII. below)
Heaters (unit, space, gas logs, gas fireplace)
VENTILATION UNITS & EXHAUST FANS
AIR HANDLER UNITS (smoke detector testing req'd for units over 2,000 CFM)
Heating System (furnaces add duct work)
Bath and Kitchen Exhaust Fans
Over $15,000 ($70 plus $11 for each $3,000
over $15,000)
Heaters (unit, space, water, gas logs, gas fireplace)
COMMERCIAL & RESIDENTIAL (based on EACH ITEM bid price)
State/Local Contractor Registration No.
1155 28TH ST SW, WYOMING MI 49509
PHONE: (616) 530-7285 or (616) 530-7286
I. JOBSITE INFORMATION PLEASE PRINT OR TYPE
Street Address including Suite #
II. INSTALLER INFORMATION
A/C, Refrigeration Self-Contained
Solar Equipment Panels (including piping)
Address (Street # / Name / Direction)
Homeowner or Business Name where the work is being performed
MECHANICAL APPLICATION FEE
(Non-refundable and includes 1 inspection)
Air Cleaners or Humidifiers
APPLICATION FOR
MECHANICAL PERMIT
