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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:  _________________________________