Residential Plumbing Permit Application

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Please correct the field(s) marked in red below:


Are you removing, replacing or adding sheetrock, roofing, wall or framing materials to complete this mechanical work?
Are you removing, replacing or adding sheetrock, roofing, wall or framing materials to complete this mechanical work?
Has a building permit been applied for or issued? (If Yes, provide permit #.)
Has a building permit been applied for or issued? (If Yes, provide permit #.)
Has another plumbing permit been applied for or issued? (If Yes, provide permit #.)
Has another plumbing permit been applied for or issued? (If Yes, provide permit #.)

Building Owner Information

Building Owner Information

Contractor Information

Contractor Information

Project Contact

(person receiving all project communications)
 *
Project Contact (person receiving all project communications)

Plumbing Fixtures

(indicate the number of each new and relocated fixture type in the space provided)
Quantity
Bathtub
Backflow Protective Device
Bidet
Bathtub/Shower Combo
Clothes Washer
Drinking Fountain
Dishwasher
Floor Drain
Floor Sink
Grease Trap
Hand Sink (Lavatory)
Hose Bibb
Kitchen Sink
Laundry Sink
Medical Gas Piping Sys (1-5 Outlets)
Additional Medical Gas Piping Outlets (over 5)
Plumbing Repair per Fixture
Rain Leader
Shower
Service Sink
Toilet (Water Closet)
Urinal
Water Heater
Water Service
Water Softener
Com Remodel - Partitions Only
Residential Patio
Other Plumbing

Total Fixtures


If you are a homeowner doing your own work please check the box below:
Applicant
Applicant
 
NOTE: Application expires 180 days after Date Submitted
  1. To receive a copy of your submission, please fill out your email address below and submit.