CITY OF OAK RIDGE CODE ENFORCEMENT DIVISION

PLUMBING PERMIT APPLICATION

 

Receipt No.

Permit No.

JOB ADDRESS

OWNER

CONTRACTOR

Name

Name

Address

Address

City

City

State                                         Zip

State                                         Zip

Telephone No.

Telephone No.

PERMIT FEE

$ 5.00

 

Plus the following fees:

NEW RESIDENCE FEE

(up to 3 bathrooms)

$40.00

 

 

Plumbing Fixture or trap or set of fixtures on one trap including water and drainage piping as follows:

DESCRIPTION

#

UNIT COST

TOTAL COST

 

 DESCRIPTION

#

UNIT COST

TOTAL COST

Bath Tub or Separate Shower

 

$2.50

 

Septic Tank & Drain Field

 

$10.00

 

Repair or Alteration of Drainage or Vent Piping

 

$5.00

 

Urinal

 

$2.50

 

Dishwasher

 

$2.50

 

Vacuum Breakers – Over 5

 

$1.50

 

Floor Drain

 

$2.50

 

Vacuum Breakers 1-5

 

$2.50

 

Fountain

 

$2.50

 

Washing Machine or Dryer

 

$2.50

 

Lavatory

 

$2.50

 

Water Closet

 

$2.50

 

New House Sewer

 

$5.00

 

Water Treatment Equipment

 

$5.00

 

Other

 

$2.50

 

Water Heater

 

$2.50

 

Repair or Replace House Sewer

 

$5.00

 

Installation, alteration or repair of water piping

 

$5.00

 

Sink

 

$2.50

 

 

 

 

 

 

SUB-TOTAL

$

 

TOTAL

$

UNDERSLAB PLUMBING

N/C

 

 

 

 

1.     Permits shall be issued only to licensed plumbing contractors or to a homeowner doing his own work personally, in his single family dwelling used exclusively for living purposes and occupied by said Owner, in accordance with the Plumbing Code of the City of Oak Ridge.

2.     Emergency repairs and replacement may be made under the condition that a permit therefore shall be obtained within the next five (5) days.

3.     Fill in this application and bring it to the City of Oak Ridge Code Enforcement Office.

4.     Plans shall be submitted when requested by the Inspector

5.     THIS IS NOT A PERMIT TO PROCEED WITH ANY OF THE WORK INDICATED ABOVE, AND NO PLUMBING WORK SHALL BE DONE IN THE CITY UNTIL A PERMIT THEREFORE HAS BEEN ISSUED.

 

 

 

_________________________________________
SIGNATURE OF MASTER PLUMBER OR PROPERTY OWNER

_________________________________________
DATE

 

FORM 05-06-28

REVISED 01/31/01

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Last Revision Date August 31, 2004