Wake County logo APPLICATION FOR MECHANICAL PERMIT
ELECTRICAL - HVAC - PLUMBING - REFRIGERATION
INSPECTIONS/DEVELOPMENT PLANS/PERMITS
SUITE 101
WAVERLY F. AKINS OFFICE BUILDING
P.O. BOX 550
RALEIGH, NC 27602
PHONE: (919) 856-6060
FAX: (919) 856-6229
  Type of Property:   
  Type of work to be performed:   

Project
Street Address

Zip
Subdivision Lot # PIN
Building
Owner		 First Name Last Name Phone #
Owner's Address Zip
Contact
Name		 First Name Last Name Phone #
Contact Email Address
Directions to site:  
Project includes the following work:  
Identify work you will do yourself:  
Description of work:
Electrical
Contractor		 First Name
 Last or Business Name
 License #
Street Address
 Zip
HVAC
Contractor		 First Name
 Last or Business Name
 License #
Street Address
 Zip
Plumbing
Contractor		 First Name
 Last or Business Name
 License #
Street Address
 Zip
Refrig
Contractor		 First Name
 Last or Business Name
 License #
Street Address
 Zip

Trade Contract Cost Permit Fee   Owner or
  Owner's Agent:
  Date:          05/20/2013
Electrical
HVAC
Plumbing
Refrigeration
TOTAL

This application becomes a permit only when approved and returned by Wake County Inspections Division.
Work shall comply with the North Carolina State Building Codes and all other applicable state and local laws,
ordinances and regulations.