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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
  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. Leave This Blank:

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