Mechanical / Plumbing Permit Application - City Of Auburn - 2015
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1
2MECHANICAL / PLUMBING
Updated
June 2015
PERMIT APPLICATION
Physical Address:
Mailing Address:
Webpage & Email:
Phone and Fax:
nd
Auburn City Hall Annex, 2
Floor
25 West Main Street
Phone: 253-931-3090
1 East Main Street
Auburn, WA 98001-4998
permitcenter@auburnwa.gov
Fax: 253-804-3114
PROJECT INFORMATION
Check all that apply:
Permit Number #
Mechanical
Plumbing
Commercial
Residential
Mobile/Manufactured home? Y N
Parent Permit #
Project Valuation
$___________________
(do not include cosmetic improvements such as paint and carpet)
Job site address: _____________________________________ Zip ___________ Lot # _________
Received:
Tenant Name: _________________________________ Parcel # _____________________________
Complex Name: ___________________________________ Building #: _________ Suite # _______
For Condominiums – Building Name: _____________________________________ Unit #________
For Mobile/Manufactured Homes – Park Name: _____________________________ Space # ______
Scope of Work: __________________________________________________________________________________________________
________________________________________________________________________________________________________________
Check this box if this is the primary contact
CONTRACTOR Check this box if this is the primary contact
OWNER
Company Name:______________________________________
Contact Person: ________________________________________
Contact: ________________________ Phone: ______________
Address: ______________________________________________
Address: _____________________________________________
City: _______________________ State: ______ Zip: _________
City: _______________________ State: ______ Zip: _________
Phone: ______________________ Fax: ____________________
E-mail: ______________________________________________
E-mail: _______________________________________________
City of Auburn Business License #: BUS__________________
Washington State Lic.#: ________________________________
Check this box if this is the primary contact
Check this box if this is the primary contact
ARCHITECT
ENGINEER
Company Name:_______________________________________
Company Name:_______________________________________
Architect: ____________________________________________
Engineer: ____________________________________________
ID#: _________________________ Exp. Date: ______________
ID# _____________________________ Exp. Date: __________
Address: _____________________________________________
Address: _____________________________________________
City: _______________________ State: ______ Zip: _________
City: _______________________ State: ______ Zip: _________
Phone: _____________________ Fax: _____________________
Phone: _____________________ Fax: _____________________
E-mail: ______________________________________________
E-mail: ______________________________________________
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