Mechanical Permit (PDF)

Town of Waterford, CT — Building Department
Heating — Ventilating - Air Conditioning Permit Application
TC[] UCL ]
Estimated Cost: Permit #: Fee:
Property Address: Owner:
Owners Address: Phone #:
Residential 0 Commercial oO new J Replacement oO Repair Oo
Oil: Oo Gas: Oo LP or Natural Heat Pump: Oo Oil Tank Size Oil Tank Location:
Heating Make & Model: AC Make & Model:
Contractor: CT License # & Category:
Address: Phone #:
Contractor’s Signature: Date:
Owner’s Signature: Date:
Description of Work:
Rough Inspection: Final Inspection:
The above signed, hereby applies for a permit to do work according to the above specifications. All provisions of the Building Code shall be complied with in the installation
of this work whether specified herein or not. The Building Inspector at his discretion may revoke this permit. It is the applicant's responsibility to schedule required
inspections.