MECHANICAL PERMIT APPLICATION BUILDING . - City of Post Falls

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MECHANICAL PERMIT APPLICATION BUILDING DIVISION Public Services Department 408 N. Spokane St. – Post Falls, ID 83854 Phone: (208)773-8708 Fax: (208)773-2505 www.postfallsidaho.org TYPE OR PRINT CLEARLY USING BLACK OR BLUE INK ONLY Fill out all sections as fully as applicable in order to expedite the approval process. A separate building permit application is required for each structure including for each town house. PROPERTY INFORMATION PROJECT ADDRESS: _____________________________________________ SUITE/ UNIT #: __________________ PROPERTY OWNER: _____________________________________________ PHONE #: ______________________ ADDRESS (IF DIFFERENT THAN ABOVE): ____________________________________________________________ CONTACT (IF DIFFERENT THAN OWNER): ____________________________ PHONE #: _____________________ PROJECT DESCRIPTION: __________________________________________ VALUATION: ____________________ RESIDENTIAL PROJECT _____ COMMERCIAL PROJECT _____ ON THE REVERSE SIDE OF FORM YOU MUST MARK TYPES AND QUANTITIES OF MECHANICAL EQUIPMENT CONTACT INFORMATION CONTRACTOR: __________________________________________________ PHONE #: ______________________ ADDRESS: __________________________________________ CITY, STATE, ZIP: ___________________________ EMAIL ADDRESS: _________________________________________________________________________________ LICENSE #: __________________________________________ EXPIRATION: _______________________________ MECHANICAL ENGINEER: ____________________________________________ PHONE #: __________________ ADDRESS: __________________________________________ CITY, STATE, ZIP: ___________________________ EMAIL ADDRESS: _________________________________________________________________________________ I hereby certify that I have read and examined this application and know the same to be true and correct. This application does not authorize any type of work to be started. This application becomes null and void if not purchased within 180 days from submittal date below. SIGNATURE OF PROPERTY OWNER/ AGENT/ OR CONTRACTOR DATE PLEASE PRINT NAME