HomeMy WebLinkAboutApplication - Plumbing PermitRevised 2020-02-19
Date
Received:______________
PLUMBING PERMIT APPLICATION FORM
Owner / Applicant: _____________________________________________________
Contractor:
Project Location:
Please Provide a Detailed Description of Work:
TYPE OF OCCUPANCY TYPE OF WORK NUMBER OF FIXTURES
Single Residential New Kitchen Sinks: Bathtubs:
Multi-family Accessory Building Basins: Floor Drains:
Farm/Ranch Ready to Move Showers: Grease Traps:
Manufactured/Mobile Home Service Connection Laundry Tubs: Bidets/Water Fountains:
Oil and Gas Toilets: Urinals:
Skid Units Other: ________________Washing Machine: Other Fixtures:
Other: ________________
The personal information required by the County of Newell application forms is collected under the authority of section 33(c) of the Alberta Freedom of Information and Protection of Privacy Act and will be protected under Part 2 of that Act and section 63 of the Safety Codes Act. It will be used for processing permit applications, issuing permits, safety coded to the
Homeowner Declaration: By signing this application I . Journeyman’s Certification No.:
Permit Fee: $ SCC Levy: Issuing Officer’s Name:
Total Cost: $ ($4.50 or 4% of the permit fee maximum $560.00)
183037 Range Road 145 P.O. Box 130 Brooks, AB T1R 1B2 Phone: 403-362-3266 | www.countyofnewell.ab.ca