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Mechanical (Residential Only)

  1. Office Use Only

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

  2. Description

    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. Property Type*

  4. Construction Type*

  5. The Applicant Is*

  6. If applicant is other, please explain.

  7. Property Owner Contact Information

  8. Contractor Contact Information

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

  10. Equipment:*

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

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

  12. Gas Piping: Check all that apply

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

  14. If gas piping will be done by others, indicate below:

  15. Payment

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

  16. 1.5% of Total Job Valuation - minimum of $45

  17. .0005 x Total Job Valuation

  18. Make checks payable to City of Elk River.

  19. Method of Payment*

    Permits must be paid for before being issued.

  20. Receipt of Permit*

  21. Indicate who to contact for payment.

  22. 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.

  23. 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.

  24. Office Use Only

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

  25. Leave This Blank:

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