APPLICATION FOR MECHANICAL PERMIT Inside City Limits Outside City Limits Please note: Application must be completely filled out Location of Site (Street Address):___________________________________________________ Lot #: _____ Subdivision: __________________ Phase/Section: ________ Flood Zone: ______ Owner Name: __________________________________________ Telephone: _____________ Address: ___________________________ City: __________ State: _____ Zip: _______ Mechanical Contractor: Name: ___________________________________________ Telephone: __________________ Address: _____________________________ City: __________ State: _____ Zip: ___________ N.C. State License #: __________________ Class: _________ E- mail:____________________ Expiration of Workers Compensation Insurance: _____________/__________/______________ Mechanical Contractor Signature: __________________________________________________ Construction Cost (Estimated Cost of Job) Mechanical $___________________ Electrical $_____________________ Type of Property: Non- Residential Residential Type of Equipment: (Check all that apply) Air Handler Condensing Unit Duct Work Gas Piping Unit Size: (Sizes in Tons) Existing: ________ New: _________ New Unit: BTU: Location of Equipment: (Check all that apply) Attic Crawlspace Roof Outside Electrical Permit: You will need an electrical permit if you are changing the breaker or wire size. Electrical Inside Electrical Outside “The City of Dunn is an Equal Opportunity Provider and Employer” City of Dunn Planning & Inspections Department 102 N. Powell Ave. P.O. Box 1065 Dunn, NC 28335 Main: (910) 230-3505 Fax: (910) 230-9005

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Page 1: · Web viewYou will need an electrical permit if you are changing the breaker or wire size

Mechanical Contractor:Name: ___________________________________________ Telephone: __________________Address: _____________________________ City: __________ State: _____ Zip: ___________N.C. State License #: __________________ Class: _________ E-mail:____________________Expiration of Workers Compensation Insurance: _____________/__________/______________Mechanical Contractor Signature: __________________________________________________

Construction Cost (Estimated Cost of Job)Mechanical $___________________ Electrical $_____________________

Type of Property:

Non-Residential

Residential

Type of Equipment:(Check all that apply)Air HandlerCondensing UnitDuct WorkGas PipingGas PackOther: _____________

Unit Size: (Sizes in Tons)Existing: ________New: _________New Unit:BTU: _________

Location of Equipment:(Check all that apply) Attic Crawlspace Roof Outside Other: __________________________________________

Electrical Permit:You will need an electrical permit if you are changing the breaker or wire size. Electrical Inside Electrical OutsideLicense #:_______Class:___________Name: __________________________________________________________________

Description of Proposed Work: ________________________________________________________________________________________________________________________________________________________________________________________________

Mechanical Contractor: ______________________________________Date: _______________Electrical Contractor: _______________________________________ Date: _______________Inspector Signature: ________________________________________ Date: _______________

If work is done by a Mechanical Contractor, they must be licensed by the State of North Carolina.

“The City of Dunn is an Equal Opportunity Provider and Employer”

City of Dunn Planning & Inspections Department102 N. Powell Ave. P.O. Box 1065Dunn, NC 28335Main: (910) 230-3505 Fax: (910) 230-9005