PLUMBING PERMIT APPLICATION

31555 Eleven Mile Rd, Farmington Hills MI 48336-1165 Office: 248-871-2450 Inspection: [email protected]

JOB ADDRESS: ______SUITE:______PROPERTY OWNER/TENANT: ______PHONE:______APPLICANT: ______PHONE:______ADDRESS: ______CITY:______ZIP:______PLUMBING LICENSE #:______EMAIL:______

FEE CHART – ENTER NUMBER OF ITEMS BEING INSTALLED, MULTIPLY BY THE UNIT PRICE FOR TOTAL FEE FEE #ITEMS TOTAL FEE #ITEMS TOTAL Base Fee (Non-refundable) $40.00 1 $40.00 Water Heater $13.00 Registration Fee $15.00 w/Liner $16.00 FIXTURES/APPLIANCES Water Heater Electric Hook-up $12.00 Stacks $9.00 Pump/Water Lift $13.00 Water Closet $9.00 Inside Drains $28.00 Bathtub $9.00 Backflow Preventer $35.00 Lavatory $9.00 Septic Bypass $30.00 Laundry Tray $9.00 Floor Before Pour $40.00 Sinks (Any description) $9.00 Modular/Manufactured Home $100.00 Floor Drain Trap $9.00 Fire Suppression Backflow $135.00 Shower Trap $9.00 Dual Water Meter $45.00 Roof Drain/Sump $9.00 Basement Waterproofing (Inside Drains) $100.00 Urinal $9.00 Lawn Sprinkler/Commercial $80.00 Humidifier $9.00 Lawn Sprinkler/Residential $35.00 Sump $9.00 Medical Gas $75.00 Dishwashing Machine $9.00 Water Distribution Pipe Size ______Automatic Washer $9.00 Water Service Size ______Garbage Disposer $9.00 Building Sewer Size ______Drinking Fountain $9.00 Storm Sewer Size ______Hose Bibb $9.00 Other: $ Interceptor $28.00 Grease Traps $13.00 TOTAL PERMIT FEES:

Section 23a of the State Construction Code Act of 1972, Act No 230 of the Public Acts of 1972, being Section 125.1523a of the Michigan Compiled Laws, prohibits a person from conspiring to circumvent the licensing requirements of this state relating to persons who are to perform work on a residential building or a structure. Violators of Section 23a are subject to civil fines. I hereby certify that the proposed work is authorized by the owner of record, and that I have been authorized by the owner to make this application as his/her authorized agent, and we agree to conform to all applicable laws of this jurisdiction.

SIGNATURE: ______DATE:______MUST BE SIGNED BY LICENSE HOLDER/HOMEOWNER

EXPIRATION OF PERMIT: A permit remains valid as long as work is progressing and inspections are requested and conducted. A permit shall become invalid if the authorized work is not commenced within six months after issuance of the permit or if the authorized work is suspended or abandoned for a period of six months after the time of commencing the work. A PERMIT WILL BE CANCELLED WHEN NO INSPECTIONS ARE REQUESTED AND CONDUCTED WITHIN SIX MONTHS OF THE DATE OF ISSUANCE OR THE DATE OF A PREVIOUS INSPECTION. CANCELLED PERMITS CANNOT BE REFUNDED OR REINSTATED.