CITY OF TOMAH PERMIT
CITY OF TOMAH PERMIT #___________
APPLICATION FOR PLUMBING PERMIT
819 SUPERIOR AVE, WISCONSIN, 54660
|JOB LOCATION |MASTER PLUMBER |
| | |
|CONTRACTORS NAME |STATE LICENSE NUMBER (MP #) |
| | |
|COMPANY NAME |PHONE NO. |
| | |
|COMPANY ADDRESS CITY |
|ZIP |
| |
Description of Work: _______________________________________________________________________________
_________________________________________________________________________________________________
|SEWER & WATER TO BE USED FOR THE FOLLOWING: ( NEW ( EXISTING |
|BUILDING USE: |
|WATER SERVICE: (INCHES) MATERIAL FROM TO |
|SANITARY SEWER (INCHES) MATERIAL FROM TO |
FIXTURES CONSISTING OF:
|KITCHEN SINK | |MOP SINK | |
|BAR & SODA- EACH TRAP | |BAR SINK | |
|BATH TUB | |SEWERAGE EJECTOR | |
|BRADLEY | |STACK CONNECTIONS | |
|DISHWASHER | |SHOWER STALLS | |
|DRINKING FOUNTAIN | |SUMP PUMP | |
|FLOOR DRAIN | |URINAL | |
|GARBAGE DISPOSAL | |WATER COOLER | |
|HOSE BIBS | |WATER CLOSET | |
|WATER HTR- GAS OR ELECTRIC | |WATER SOFTENER | |
|LAUNDRY TRAY | |WASH BASINS | |
|WASH FOUNTAIN | |AUTOMATIC WASHER | |
|SPRINKLER SYSTEMS | |MOBILE HOME HOOK-UP |$15.00 |
ESTIMATED COST _______________
FEE SCHEDULE
COST FEE
Up to $1,000.00 $25.00
$1001.00 to $2500.00 $40.00
$2501.00 to $4000.00 $45.00
$4001.00 to $6000.00 $50.00
$6001.00 to $8000.00 $55.00
$8001.00 to $10,000.00 $60.00
Over $10,000.00 $60.00 plus $2.50 per thousand
In excess of $10,000.00
TOTAL FEE :______________
-FAILURE TO OBTAIN PERMIT PRIOR TO WORK, EXCEPT EMERGENCY CASES: -FIRST OFFENSE, DOUBLE FEES
*****master plumber shall call for all inspections
CALL 374-7429 FOR INSPECTIONS- 24 HOUR NOTICE REQUIRED
CALL 374-7430 FOR INSPECTION OF SEWER TAPS
________________________________________ _________________________________________
MASTER PLUMBERS SIGNATURE DATE
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