Application For Plumbing/sewer Permit Form
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1
2APPLICATION FOR PLUMBING/SEWER PERMIT
CITY OF AKRON, OHIO
166 S. High Street, Room 100
Akron, OH 44308
Inspections:
(330) 375-2310
OFFICE USE ONLY
Fax:
(330) 375-2328
YN
Permits:
(330-375-2220)
CR#
PERMIT #
DATE:_____________________
PROJECT ADDRESS:
SUITE/SPACE/PROJECT #:
(Mandatory for multi-unit projects)
OWNER/OCCUPANT:
BUILDING PERMIT #
BUILDING USE:
PLEASE SELECT ONE:
NEW
REPLACEMENT
PLUMBING/SEWER CONTRACTOR (COMPANY NAME):
AUTHORIZED SIGNATURE:
ADDRESS:
CITY
ZIP
PHONE #:
# Fixture Units
x $2.00
$
FIXTURE UNITS
$5.00 each
#
$
AIR ADMITTANCE VALVE
WATER DISTRIBUTION (Inside)
#
$
$10.00 per unit
WATER HEATER
$20.00 each
#
$
SEWAGE EJECTOR
$20.00 each
#
$
FLOOR DRAIN
$5.00 each
#
$
INSIDE CONDUCTOR/ROOF DRAIN
$10.00 each
#
$
SUMP PUMP/DRY WELL
$20.00 each
#
$
BACKFLOW DEVICE
$50.00 each
#
$
SANITARY SEWER:
Feet
$
$50 per 100' or fraction thereof
STORM SEWER:
Feet
$
$50 per 100' or fraction thereof
$125.00 each
$
RESIDENTIAL TAP PERMIT - Sanitary or Storm
$300.00 each
$
COMMERCIAL TAP PERMIT - Sanitary or Storm
STREET OPENING PERMIT
$192.00 each
$
$20.00 each
MANHOLE
#
$
$20.00 each
CATCH BASIN
#
$
$20.00 each
GREASE INTERCEPTOR/TRAP
#
$
$20.00 each
OIL INTERCEPTOR
#
$
GASLINE:
$20 per 100' or fraction thereof
Linear Feet
$
Repair
$25.00
$
APPLICATION FEE
$
$50.00
SUBTOTAL
$
3% STATE FEE (commercial work)
$
1% STATE FEE (residential work) EFFECTIVE MAY 30, 2006
$
TOTAL DUE
$
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