Fillable Owner of property Property Address Approximate cost of (City of Spring Hill)

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Owner of property Property Address Approximate cost of (City of Spring Hill)

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-Planning Departmen
Y:\City Hall\Community Development\FORMS\PERMIT APPS & HANDOUTS\Mechanical Permit.doc Revised 12.19.18
Mechanical Permit
Community Development/Planning Dept.
401 N. Madison St., Spring Hill, KS 66083
(913) 592-3657 ● (913) 592-5040 FAX
planning@springhillks.gov ● www.springhillks.gov
Owner of property
Property Address
County: ❑ Johnson ❑ Miami Use of building: Zoning
Approximate cost of project (labor and materials) $
Contractor License Information
Company Name:
Mechanical Contractor Name:
Contractor Address: City: State: Zip:
Phone: E-mail:
Johnson or Miami County License #
New furnace, water heater or air conditioner-describe
Replacement of furnace, water heater or air conditioner-describe
I affirm that the information provided is true and correct, and I agree to conform to all regulations of the City of Spring Hill
covering this type of work. I state that the work done is performed by the licensed contractor as stated above. I understand
failure to comply with these provisions may result in the revocation of this permit and/or contractor license.
Applicant Signature Date
Applicant Name (print)
MECHANICAL PERMIT
This mechanical permit for the above-described mechanical work is hereby approved, subject to all provisions outlined herein, and all
work is performed to the current adopted edition of the International Mechanical Code.
Approved By
Date
Permit No.
Permit Fee $ 50.00
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Owner of property Property Address Approximate cost of (City of Spring Hill)

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Completed 16 July 2020

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