DATE: MECHANICAL Permit Application

MECHANICAL Permit Application

DATE: BLDG PERMIT #:

Work site address:

(STREET ADDRESS WITH SUITE NUMBER)

As Set in Ordinance: O-177-2018, Effective January 1, 2019

CAC/KEEM CAC Weatherization

RESIDENTIAL NEW CONSTRUCTION RESIDENTIAL REMODEL

QTY

ITEM

HEATING & COOLING EQUIPMENT

ROOF TOP UNIT

(Larger unit or additional units will require an Engineer's letter.)

PACKAGE UNIT

ONE OR TWO FAMILY MULTI-FAMILY

EACH PRICE

MAKE

$ 5.00 $ 5.00

COMMERCIAL CONSTRUCTION

HEATING CAPACITY ( Total BTU )

COOLING CAPACITY ( Total BTU )

LINE TOTAL

SPLIT UNIT

$ 5.00

FURNACE

$ 5.00

AIR CONDITIONING

APPLIANCES

REFRIGERATION SYSTEM

$ 5.00 $ 5.00

FREEZER

$ 5.00

WALK-IN COOLER

$ 5.00

ICE MACHINE

EXHAUST SYSTEMS / DUCT WORK

HOOD

$ 5.00 $ 5.00

EXHAUST SYSTEM

$ 5.00

OTHER

DUCT SYSTEM

List:

$ 5.00 $ 5.00

TOTAL OF CAPACITY COLUMNS

TOTAL CAPACITY IN BTU'S (HEATING AND COOLING) $ 10.00 per 100,000 or fraction thereof

TOTAL CAPACITY IN kW's (HEATING AND COOLING) $ 10.00 per 30 or fraction thereof

Return this completed application to the City of Knoxville Inspections Department, 400 W Main Street, Suite 475, Knoxville, TN 37902, or email as an attachment to bldginspections@.

SUB-TOTAL BASE PERMIT FEE

$ 35.00

This is not a permit to proceed with any of the work indicated above and no Mechanical work shall be performed in the City of Knoxville until a permit is issued.

DOUBLE FEE? Y/N TOTAL FEE DUE

Inspections of mechanical installations are conducted with all applicable codes adopted by the City of Knoxville. The 2018 International Mechanical Code, City of Knoxville Ordinance 0-177-2018 for Mechanical installations and City of Knoxville Code of Ordinances.

The required and first re-inspection of work are covered in the cost of the issued permit. The second re-inspection is subject to a charge of $25. The third and all subsequent re-inspections are subject to a charge of $50 per inspection. Payment is required before the inspection will be performed.

Company Name (print) Phone Number

Email

License Holder's Name (print)

Authorized Signature

City Contractor's License Number

Sep-18

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