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Mechanical Permit Application
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Steps
1.
Job Location Information
This section is complete
This section is incomplete
2.
HVAC Contractor Information
This section is complete
This section is incomplete
3.
Heating and AC Information
This section is complete
This section is incomplete
4.
Certification of License
This section is complete
This section is incomplete
Job Location Information
Job Location
*
Owner Name
*
Owner's Address1
*
City
*
State
*
Zip
*
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HVAC Contractor Information
License Holder's Name
*
License Holder's Trade Name
*
License Holder's Address
*
Address2
City
*
State
*
Zip
Phone
*
Cell
Email
*
State License #
*
Application Type
*
-- Select One --
Residential
Commercial
Apartment
Single Fixture Only
Description of Work
*
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Heating and AC Information
Furnace
New gas furnace
New oil furnace
New electric furnace
Replacement gas furnace
Replacement oil furnace
Replacement electric furnace
($20 per furnace)
Number of furnaces
Boiler
New hot water boiler
New steam boiler
Replacement hot water boiler
Replacement steam boiler
($20 per boiler)
Number of boilers
Heat Pump
($20 per heat pump)
Solid Fuel Burning Appliances
($20 per appliance)
A/C
New Residential Unit
New Commercial Unit
Replace Residential Unit
Replace Commercial Unit
($10 per residential unit/$20 per commercial unit)
Number of A/C
HVAC Duct Modifications
Manufactured Fireplaces
Direct Vent
Ventless
With Chimney
($20 per fireplace)
Number of Fireplaces
Heating Oil Storage Tanks
Residential
Commercial
Removal
($20 per tank)
Number of Tanks
Chimney Liner
($20 per chimney liner)
Venting for:
Residential Hood
Residential Dryer
Residential Bath Fan
Commercial Dryer
Commercial Bath Fan
($10 per vent)
Number of vents
Commercial Exhaust Hood
($20 per exhaust hood)
Others Not Listed
($10 per other item)
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Certification of License
If in the opinion of the Mechanical Inspector, drawings and specifications are required for this application, I shall furnish such drawings and specifications.
It is the responsibility of the license holder to give 24 hour advance notice to the Planning and Code Administration Department when work is ready for testing and inspections. Failure to schedule inspections for any period of six months following the issuance of this permit will be cause for the permit to become void.
I acknowledge that I have read this application and affirm that the information supplied by myself is correct; and that the owner/tenant of the referenced property has authorized me to do work described herein. I agree to comply with all City Ordinances and State Laws.
Certification
*
I certify that I am properly registered and licensed as required by the State of Maryland
I do not certify that I am properly registered and licensed
License Holder Name
*
Credit Card Information
*
Call License Holder ($10 service processing fee)
Email License Holder
Leave This Blank:
Receive an email copy of this form.
Email address
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