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Mechanical (Residential Only)

  1. Date:__________ Permit # ____________ PID # ______________ Notes: ___ Total $________

  2. This is a mechanical permit application for residential only. If you need a permit for a commercial property, print and complete the paper Mechanical Permit application.

  3. Structure Type*

  4. Construction Type*

  5. The Applicant Is*

  6. If applicant is other, please explain.

  7. Provide a detailed description of the work that will be done.

  8. Equipment:*

    Check all that apply (commercial applicants must supply two sets of plans).

  9. If you selected the "other" box above, please describe.

  10. Gas Piping: Check all that apply

  11. If you selected the "other" box above, please describe.

  12. All fees are based on valuation, including cost of labor and materials. The minimum fee is $45 plus state surcharge.

  13. 1.5% of Total Job Valuation - minimum of $45

  14. .0005 x Total Job Valuation

  15. Make checks payable to City of Elk River.

  16. Method of Payment*

    Permits must be paid for before being issued.

  17. Receipt of Permit*

  18. Indicate who to contact for payment.

  19. This is an application for a permit - it is not valid until processed*

    I hereby apply for a mechanical permit, and I acknowledge that the information above is complete and accurate; that I understand this is not a permit and work is not to start without a permit. I understand and hereby agree that the work for which the permit issued shall be performed according to; (1) the conditions of the permit; (2) the approved plans and specifications; (3) the applicable city approvals, ordinances, and codes; and (4) the state building/mechanical codes and regulations. I understand that the permit will expire, and become null and void if work is not started within 180 days, or if work is suspended or abandoned for a period of 180 days any time after work has commenced; and, that I am responsible for ensuring that all required inspections are requested in conformance with the state building code.

  20. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

  21. Approved for issued by: ________ Date:________ Hard Card/Soft card, reference permit # ______________ Called or L/M Date: _______ Int: ______

  22. Leave This Blank:

  23. This field is not part of the form submission.