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PARK COUNTY MECHANICAL PERMIT APPLICATION PO Box 517 Fairplay, CO 80440 [PHONE REDACTED] Email: [EMAIL REDACTED] Please Type or Print Legibly Date Received: Parcel No (www.parkco.org): Project Address: Legal Description: Subdivision: Lot: Block: Filing: Unit: (Name) Township: Range: Section: Applicant/Contractor: Park County License No: Office Phone: Mailing Address: Cell Phone: City: Zip: Email: Property Owner: Phone: Mailing Address: Email: City: State: Zip: Checklist of required information for a Mechanical Permit Initials 1. Completed Mechanical Permit Application from the Building Department. 2. If you are the contractor a copy of the signed agreement with the property owner or the property owners signature on the Mechanical Permit application. 3. 4. Submit a written plan detailing the type of mechanical work to be done. 5. Submit detail of the appliance including Approved Testing Laboratory listing, Make & Model. A floor plan detailing where the mechanical appliance will be placed within the structure (ie: furnace, wood stove, gas fireplace etc). Gas piping will require a permit through the Colorado State Plumbing Board. 6. $200.00 Fee 7. Please note: Park County Inspectors cannot enter a dwelling alone when the dwelling is occupied; there has to be someone present on site for inspections. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give the authority to violate or cancel the provisions of any other state or local law regulating construction, the performance of construction, zoning or sanitation requirements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, or if construction or work is suspended or abandoned for a period of 180 days at any time after work is commenced. Applicant/Contractor Date 01/10/2023 KS Park County Building Property Owner Date