|
STATE OF WASHINGTON CONTACTOR’S LICENSE: ________________________________________________________________
<br />CITY OF RENTON BUSINESS LICENSE: __________________________________________ UBI#: __________________________
<br />H\CED\Data\Forms-Templates\Self-Help Handouts\Building\2019 Forms-Fillable\Mechanical.pdf Updated 12/5/2019
<br />
<br />MECHANICAL PERMIT
<br />APPLICATION
<br />Development Services Division
<br />1055 S. Grady Way
<br />Renton, WA 98057
<br />(425) 430-7200
<br />www.rentonwa.gov
<br />This application must be filled out completely in order to be submitted for review. We will not accept incomplete applications.
<br />This application is good for one (1) year from the submittal date. A one–time extension of one (1) year can be requested at a cost
<br />of half the plan review fee. Once the permit is issued, the permit is good for one (1) year. A one-time extension of one (1) year
<br />can be requested at a cost of half the permit fee. Please follow our Electronic File Standards if plan review is required.
<br />FOR OFFICE USE ONLY:
<br />PERMIT NUMBER: _______________________ PROJECT NUMBER: ___________________ LAND USE NUMBER: ___________
<br />1.LOCA TION INFORMATION
<br />JOB ADDRESS: ______________________________________ TENANT NAME: __________________________ LOT #: ________
<br />VALUE OF WORK: (Fair market value for time + materials) $__________________ BOEING JOB # (If applicable): ______________
<br />2.OWNER INFORMATION
<br />PROPERTY OWNER NAME: _____________________________________________ PHONE: _____________________________
<br />ADDRESS: _______________________________________________ CITY: __________ STATE: _______ ZIP: ______________
<br />3.CONTACT INFORMATION
<br />CONTACT NAME: ______________________________________________________ PHONE: __________________________
<br />EMAIL: ________________________________________________________________________________________________
<br />ASSOCIATED BUILDING PERMIT NUMBER (REQUIRED): __________________________________________________________
<br />This number is required if your work is associated with work being done under a Building Permit. The Building Permit could
<br />belong to someone else, but we still need the number to keep all associated permits tied together. You may need to contact
<br />the Building Permit Owner.
<br />Description of work: ______________________________________________________________________________________
<br />4.CONTRACTOR INFORMATION
<br /> DOING THE WORK AS THE BUILDING/HOME OWNER. If yes, please fill out the Owner Affidavit and include it with this form.
<br />Tenants cannot do the work without written permission from the owner.
<br /> A LICENSED CONTRACTOR WILL BE DOING THE WORK. Fill out the portion below (Required):
<br />NAME: _________________________________________________________ PHONE: _________________________________
|