Residential Mechanical Permit Application
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10 JOHNSTON COUNTY INSPECTIONS DEPARTMENT 309 E MARKET ST SMITHFIELD NC 27577 ~ PHONE 919 989 - 5060 ~ FAX 919 989 - 5431 RESIDENTIAL MECHANICAL PERMIT APPLICATION Property Information Applicant Name & Phone _____________________________________________________________________________________ Property Owner ____________________________________________________________________________________________ Project Address ____________________________________________________________________________________________ Unit Sizes Type of Equipment Total Job Cost Please provide the size of the Check all that apply unit in tons Location of Air Handler Electrical Information Existing Equipment Check Condensing Unit all that apply New Inside Outside Gas Piping New Unit Attic Duct work License # BTU Other Other Electricians Crawlspace DETAILED DESCRIPTION OF WORK Name PLEASE NOTE If any changes were made inside the residence ie changing breakers , feeder wire , etc , access to the inside of the house and breaker panel must be provided at the the time of inspection HVAC CONTRACTOR INFORMATION Contractor Name License # Address Phone # Fax # City REGULATIONS The undersigned does hereby declare that the information given above is correct and agrees with all State and Local law , Local ordinances and regulations , and the North Carolina State Building Code The under - signer also declares all subcontractors for this project have been notified of their contractual obligation to this project The applicant furthermore declares that he she is the property owner or legally represents the property owner This application only becomes a permit when it has been processed and approved by the Johnston County Inspections Department and all applicable fees paid Owner Contractor Agent Signature Print Name Email Address Date Page