Plumbing Application Form - 2004
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1Parcel #_____________________________
Permit # _______________________
New Hanover Township Plumbing Application
Property Owner
________________________________________________ Phone No. ____________________
Address_____________________________________________________________________________________
Property Location ____________________________________________________________________________
Subdivision / Development______________________________________________________________________
Plumbing Contractor ___________________________________
Twp. License No. ___________________
Address _____________________________________________
Phone No. _____________________
Use of property:
Residential !
Commercial !
Industrial !
(List No. of each)
Note:
Stacks
__________
This permit is issued contingent upon all work
Sinks
__________
being in compliance with the Pa. State Uniform
Bathtubs/Shower Units
__________
Bldg. Code including all supplements and
Water Closet
__________
other applicable Township Regulations.
Lavatory
__________
Tanks and Heaters
__________
Laundry Tray
__________
All Water closets on new construction shall not
Water Distribution Piping
__________
be more than 1.6 gallon flush. All construction
Floor Drains
__________
requires a backflow preventive on the domestic
Sewage Ejector
__________
water.
Fountain (Drinking)
__________
Sump
__________
IMPORTANT: Plumber must be licensed by
Urinal
__________
New Hanover Township before application is
Dishwasher
__________
submitted. Additional Inspections due to failed
Humidifier
__________
inspection - $50.00 each.
Washing Machine
__________
Special Wastes
__________
TOTAL PERMIT COST:
_____________
Residential Fees – $60.00 plus $5.00 each item listed above.
Commercial Fees – $100.00 application fee plus $10.00 each item listed above.
Contractor’s License - $50.00 Expires December 31st in year issued.
Applicant certifies that all information given is correct and that all Township Ordinances will be complied with
in performing the work for which this permit is issued.
_____________________________________________
_____________________________________________________
Applicant Signature
Plumber Signature
_________________
__________________
_____________________
__________________
Cost of Improvement
Permit Fee
Application Date
Issue Date
Approved_____________________________
Denied______________________________________
O Forms 2004 Plumbing Application
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