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Get WA Refrigeration Permit Application

08. 410 and 25. 08. 420 reference information at www. seattle. gov/ dpd N EW I NSTALLATI ONS Quantity Compressor Type NOTE Per section 122 of the IMC Systems over 50 H/ P require a City of Seattle Refrigeration Operating Permit when applicable. 0 to 5 Horsepower 26 to 100 Horsepower 101 to 500 Horsepower Over 500 Horsepower ALTERATI ONS OR REPAI RS TEMPORARY USE Value of Work Number of Temporary I nstallations Dates of Use From To NOTE To obtain a permit for work on a refrigeration systems the applicant must also provide the Refrigeration Company Journeyman contractor s license numbers which are issued by the City of Seattle DPD. O. Box 34019 Seattle WA 98124-1234 Charge my escrow ADA account Call primary contact for a credit card number Mail Permit Hold Permit for Pick-Up Email Permit to DPD USE ONLY Permit Permit Fee REFRIGERATION PIPING CAN ONLY BE INSTALLED BY A LICENSED DPD REFRIGERATION CONTRACTOR. NOTE New permit application requests as w ell as w ritten requests to make changes to a permit w hich are received via fax or email are processed w ithin 2 w orking days from the date w e receive them.. Seattle. gov/ dpd Permit Counter Email otcpermits seattle. gov ASC Hours M / W / F 8 00-4 00 Tu / Th 10 30-4 00 Work Site Address Zip Work Activity Location floor apt suite etc. Occupancy Single Family Multi- Family Commercial I nstitutional I ndustrial Description of Work W ORK SI TE OWNER/ TENANT I NFORMATI ON Ow ner Tenant CONTRACTOR I NFORMATI ON DPD s Seattle Refrigeration Contractor License Name Company Name Phone Fax Address Apt/ Ste Suite City/ State NOTE All components external to the building must comply with Seattle Noise Ordinances SMC 25. City of Seattle Department of Planning and Development 700 Fifth Ave Suite 2000 P. O. Box 34019 Seattle WA 98124-4019 Phone 206 684-8464 Fax 206 684-8113 Website www. I certify that the work to be performed under this application will be done in conformance with the City of Seattle Municipal Code. Signature Date of Application Contractor or Owner or Authorized Agent PAYMENT MAI LI NG I NSTRUCTI ONS Mail checks w / application to City of Seattle DPD Attn OTC 700 5th Ave 2000 P. I certify that the work to be performed under this application will be done in conformance with the City of Seattle Municipal Code. Signature Date of Application Contractor or Owner or Authorized Agent PAYMENT MAI LI NG I NSTRUCTI ONS Mail checks w / application to City of Seattle DPD Attn OTC 700 5th Ave 2000 P. .

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