Fillable Tulalip Tribes MECHANICAL APPLICATION 1. Property Information Building (The Tulalip Tribes)

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Tulalip Tribes MECHANICAL APPLICATION 1. Property Information Building (The Tulalip Tribes)

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  • 96 other fields

Country of origin: US
File type: PDF

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Tulalip Tribes
MECHANICAL APPLICATION
1. Property Information
Building Site Address
_________________________________________________________
City __________________________________ State ______ Zip Code ____________
2. Project Information
Name of Project
______________________________________________________________
Value of Mechanical Improvements $_________________________________
3. Applicant Information
Applicant and/or Tenant Name
______________________________________________________________
Mailing Address
______________________________________________________________
City ___________________________________ State ______ Zip Code ____________
Phone (____) ________________________ Fax (____) ________________________
Property Owner
______________________________________________________________
Mailing Address
______________________________________________________________
City ___________________________________ State ______ Zip Code ____________
Phone (____) _______________________ Fax (____) ________________________
Contact Person
_______________________________________________________________
Mailing Address
______________________________________________________________
City ___________________________________ State ______ Zip Code ____________
Phone (____) ________________________ Fax (____) ________________________
Contractor
___________________________________________________________________
License # __________________________________________ Exp. Date ___________
Mailing Address
______________________________________________________________
City ___________________________________ State ______ Zip Code____________
Phone (____) ________________________ Fax (____) ________________________
Related Building Permit Number ______________
I hereby certify that I have prepared this application and that, to the best of my
knowledge, the information provided is complete, accurate, and a true representation of
the proposed work. I further attest that I have the authority to submit this application
and agree to comply with any and all conditions of permit approval. I agree to provide
any additional information required and understand that if the scope of the project is
modified, a new application may be required.
_____________________________ ________________
Applicant’s Signature Date
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signature
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Tulalip Tribes
MECHANICAL APPLICATION
Heat Source: Oil Natural Gas LPG Electric Solar Wood
Mechanical Permit - # of fixtures
(state how many)
Plumbing Permit – # of fixtures
(state how many)
_____ Gas piping connections _____ Water closets
_____ Boilers _____ Wash basins
_____ Chillers _____ Bathtubs
_____ Exhaust fans _____ Shower stalls
_____ Fire alarm systems _____ Kitchen sinks
_____ Fire sprinkler systems _____ Dishwashers
_____ Fuel tank – above ground _____ Laundry washers
Gallons per tank _____ _____ Laundry tubs
_____ Fuel tank – underground _____ Water service lines
Gallons per tank _____ _____ Floor drains
_____ Furnaces _____ Hot water tanks
_____ Heat pumps _____ Back flow preventors
_____ HVAC _____ Bar sinks
_____ Paint spray booths _____ Bidets
_____ Restaurant hoods _____ Drain lines
_____ Stand-alone ventilation systems _____ Sewage ejectors
_____ Walk-in coolers _____ Sumps
_____ Fireplace – zero clearance gas _____ Solar
_____ Fireplace – zero clearance wood _____ Drinking fountains
_____ Fireplace – masonry _____ Urinals
_____ Wood stove _____ Floor sinks
_____ Other _____ Service sinks
_____ Total Fixtures _____ Grease traps
_____ Interceptors/clarifiers
_____ Roof drains
_____ Restaurant sinks
_____ Other
_____ Total Fixtures
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Tulalip Tribes MECHANICAL APPLICATION 1. Property Information Building (The Tulalip Tribes)

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Completed 20 July 2020

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