Mechanical Permit Application Mechanical Permit Application Job Address:(Required)Parcel Number (Optional):Project Description:(Required)PROPERTY OWNERName:(Required) First Last Address:(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Phone:(Required)Email:(Required) Contractor Please Select if Contractor Business Name:(Required)Address:(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Phone:(Required)Email:(Required) License Number:(Required)Base Fee $26.85Please Select One:(Required) State Fee Commercial – $25.00 State Fee Residental – $6.50 A./C Unit – $11.81QTYGas Piping 5+ Each Additional – $2.42QTYAH <10,000 CFM – $11.81QTYGas Range – $10.74QTYAH >10,000 CFM – $19.33QTYHazard Piping 1-4 Outlets – $9.40QTYAppliance Vent – $7.25QTYHazard Piping 5+ Outlets Each – $2.42QTYElectric Baseboard or Suspended Heaters – $15.57QTYHeat Pump – $10.74QTYEvaporative Cooler – $11.81QTYKitchen Exh. Fan – $12.35QTYFurnace/Htr <100,000 BTU – $16.65QTYLP Tank – $90.00QTYFurnace/Htr >100,000 BTU – $19.87QTYMisc. – $10.74QTYGas Boiler <100,000 BTU – $15.57QTYNon-Haz Piping 1-4 Outlets – $2.95QTYGas Boiler >100,000 BTU – $28.46QTYNon-Haz Piping 5+ Outlets Each – $1.34QTYGas Boiler 500,000 – 1,000,000 BTU – $39.73QTYPellet Stove – $16.11QTYGas Boiler 1,000,000 – 1,750,000 BTU – $58.53QTYRepair/Alt./Addn to a Listed Appliance – $14.50QTYGas Boiler >1,750,000 BTU – $105.78QTYSupplemental Permit Fee – $7.25QTYGas Fireplace/Heat Stove – $16.11QTYType I/II Commercial Hood – $12.35QTYGas Grill – $10.74QTYVent Fan (laundry/bath) – $7.25QTYGas Piping 1-4 Outlets – $9.40QTYWood Stove – $16.11QTYSignature:(Required)I hereby certify under penalty of perjury of the Laws of the State of Washington that I have read and examined this application and know that the information contained herein is true and correct. I certify that I am the owner of the subject property, or, that I have been given express permission by the owner of the subject property to submit this application for permit. I understand that the granting of a permit does not authorize me in any way to violate or cancel any of the provisions of state or local law regulating the construction or performance of construction sought under this permitDate:(Required)MonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920PhoneThis field is for validation purposes and should be left unchanged.