Fillable Mechanical Permit Application (City of Duvall)

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Mechanical Permit Application (City of Duvall)

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The Mechanical Permit Application (City of Duvall) form is 1 page long and contains:

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  • 4 check-boxes
  • 39 other fields

Country of origin: US
File type: PDF

U.S.A. forms for City of Duvall

BROWSE CITY OF DUVALL (WA) FORMS

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Public Works
14525 Main St NE
Duvall, WA 98019
(425) 788-3434 Fax: (425) 788-0311
Mechanical Permit Application
PERMIT #
Project:
Permit Name:
Parcel No.
Permit Address:
Contact phone #
Describe the scope of work in detail:
Building Owner/Developer
Contractor
Name:
Company Name:
Manager/Contact Person:
ID#:
Address:
Address:
City:
ST/Zip:
City:
ST/Zip:
Phone(s):
Fax:
Phone(s):
Fax:
Mechanical
All mechanical equipment (new and relocated) to be listed below. Equipment not specifically
listed will not be included on permit. M1307.3.1 Protection from impact. Appliances located
in a garage or carport shall be protected from impact by automobiles (section 312).
A/C – Heat Pump
Compressor
Gas Appliances
Air Handlers
Evaporator
Gas Piping Outlets
Appliance Vents C Hoods Type I-II
Fireplace
Other
Boilers/Water Heater
Furnace BTU’s ___
Total Fixtures
TOTAL CONSTRUCTION COST ESTIMATE: $
Applicant: OWNER OWNER’S AGENT CONTRACTOR CONTRACTOR’S AGENT
I have read this application and declare under penalty of perjury that the information contained herein is correct and complete. I agree to comply with
all City Ordinances and State Building Codes. I, hereby authorize representatives of this city to enter upon the above mentioned property for inspection
purposes. I am owner of said property, the Washington State registered contractor responsible for the work, or I represent the owner or contractor as
signified above and I am acting with the owner’s/contractor’s consent.
Print name Date
Signature Date
Application expires 180 days after submittal date.
OFFICE USE ONLY (Please do not write below this line)
BUILDING: Occupancy Type of Construction Stories Total Sq. Ft. Valuation $
Permit fee Plan check fee Mechanical fee Total fees $
Building Department Approval Date
Conditions:
0
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Mechanical Permit Application (City of Duvall)

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Completed 13 November 2021

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