PERMITS - Plumbing Permit Application

 Step 1 of 1

* Denotes a required field

PLUMBING PERMIT APPLICATION

Date of Application*
 

Owner Information

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Owner Phone Number*
-- ext

Contractor Information

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Contractor Office Phone Number*
-- ext
Contractor Mobile Phone Number 
-- ext

Job Information

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Number of Connections & $25.00 Inspection Fee

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

Fees

Phone number of person paying fees*
-- ext
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Disclaimers

I agree to the disclaimers.*
TERMINATION OF PERMIT BY OWNER. In the event of termination or cancellation of a permit by an owner, the owner must notify the City in writing of said termination and notify the City if the name of the substitute or replacement contractor, if any. The permit shall be amended effective on the date of notice of the substitute or replacement contractor form from the owner. The owner shall pay the sum of $50.00 for the substitution and/or replacement of a contractor.

FOR OFFICE USE ONLY

ENTERED BY: ______________________________ DATE: _____________________________

PERMIT #: ___________ FLOOD ZONE: _____________ INSPECTOR: ____________