If you're a plumber looking for the resources and paperwork needed to obtain your plumbing permit, then you've come to the right place. Mi Plumbing is here to help guide you through the process and provide all of the necessary forms and information required. The paperwork doesn't need to be intimidating; our goal is to make it as easy as possible. Read on for more information about how we can help with your Mi Plumbing Permit Form needs!
| Question | Answer |
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| Form Name | Mi Plumbing Permit Form |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | grand rapids plumbing permit, mi application plumbing permit, verbage needed for plumbing permit by homeowners, plumbing permit forms online |
APPLICATION FOR
PLUMBING PERMIT
CITY OF GRAND RAPIDS - DEVELOPMENT CENTER 1120 MONROE AVE NW, GRAND RAPIDS, MI 49503 PHONE: (616)
Permit #
Application Date
I. |
JOBSITE INFORMATION |
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PLEASE PRINT OR TYPE |
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Street Address including Suite # |
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Lot: |
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City |
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Use (check one) |
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GRAND RAPIDS |
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RESIDENTIAL |
COMMERCIAL |
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Homeowner or Business Name where the work is being performed |
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Resident/Business Phone |
Has a building permit been obtained |
for this project? (check one) |
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YES |
NO |
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NOT REQUIRED |
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Jobsite Contact Person |
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Jobsite Contact Phone |
Scope (check one) |
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NEW |
REMODEL |
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REPAIR |
REPLACE |
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II. INSTALLER INFORMATION |
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Installer is (check one) |
CONTRACTOR |
HOMEOWNER (See "Homeowner Affidavit" below) |
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Name |
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Phone # |
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State/Local Contractor Registration No. |
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Expiration Date |
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Address (Street # / Name / Direction) |
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Master Plumber License No. |
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Expiration Date |
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City |
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State |
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MESC. Employer ID (or exemption) |
Federal Employer ID (or exemption) |
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Driver's License No. |
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Workers Compensation Insurance Carrier (or exemption) |
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NOTE: Any concealed work shall be inspected before being covered |
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III. DESCRIPTION & COMMENTS Give a detailed description of the work to be performed under this permit. This section is mandatory for permit issuance. |
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IV. FEE CHART |
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FEE |
# ITEMS |
TOTAL |
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FEE |
# ITEMS |
TOTAL |
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1. |
PLUMBING APPLICATION FEE |
$ |
50.00 |
1 |
$ |
50.00 |
r. |
Stacks: Soil, Waste, Vent, |
$ |
5.00 |
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s. |
Urinal |
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$ |
5.00 |
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a. |
ADMINISTRATIVE FEE (work w/o permit) |
$ |
80.00 |
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t. |
Water Heater |
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$ |
5.00 |
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b. |
EACH ADDITIONAL INSPECTION |
$ |
40.00 |
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Water Closet |
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$ |
5.00 |
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2. |
SCHEDULE OF PLUMBING EQUIPMENT |
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3. |
WATER DISTRIBUTION PIPE SYSTEM INTERIOR |
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a. |
Backflow Preventer |
$ |
5.00 |
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3/4" Water Distribution |
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$ |
6.00 |
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b. |
Backwater Valve |
$ |
5.00 |
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b. |
1" Water Distribution |
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$ |
10.00 |
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c. |
Bath Tub / Shower |
$ |
5.00 |
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c. |
$ |
20.00 |
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d. |
Catch Basin, Sump, Roof Drain |
$ |
5.00 |
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d. |
$ |
25.00 |
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e. |
Dishwashing Machine |
$ |
5.00 |
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e. |
2" Water Distribution |
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$ |
30.00 |
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f. |
Drinking Fountain |
$ |
5.00 |
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f. |
Over 2" Water Distribution |
$ |
35.00 |
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g. |
Floor Drain |
$ |
5.00 |
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4. |
MEDICAL GAS - LICENSE REQUIRED |
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h. |
Garbage Disposal |
$ |
5.00 |
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a. |
Medical Gas Piping (per outlet) |
$ |
5.00 |
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i. |
Grease Trap, Oil Separator |
$ |
5.00 |
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b. |
Medical Gas Systems |
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$ |
50.00 |
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j. |
Laundry Tray, Stand Pipes |
$ |
5.00 |
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5. |
EXTERIOR WORK ONLY |
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k. |
Lavatory |
$ |
5.00 |
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a. |
Storm Sewer |
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l. |
Lawn Sprinkler |
$ |
5.00 |
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Water Service (check one) |
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m. |
Refrigerator, Ice Machine, Water |
$ |
5.00 |
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b. |
NEW |
REPAIR |
REPLACE |
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For Grand Rapids permit, contact |
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Connected Appliances |
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CAPPING |
WELL |
Water System at Development Center, |
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(616) |
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n. |
Sink, 3 Compartment Pot & Pan |
$ |
5.00 |
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Sanitary Sewer (check one) |
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o. |
Sink, Kitchen |
$ |
5.00 |
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c. |
NEW |
REPAIR |
REPLACE |
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p. |
Sink, Other than for family use |
$ |
5.00 |
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CAPPING |
SEPTIC |
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q. |
Sink, Slop/Service |
$ |
5.00 |
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This is your permit when approved by the City's Administrative Authority. Make checks payable to "CITY OF GRAND RAPIDS" |
TOTAL FEE |
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V.APPLICATION SIGNATURE (Homeowner signature indicates compliance with section VI. below)
Section 23a of the State Construction Act of 1972, Act No. 230 of the Public Acts of 1972, being section 125.1523a of the Michigan Compiled Laws, prohibits a person from conspiring to circumvent the licensing requirements of this state relating to persons who are to perform work on a residential structure. Violators of Section 23a are subject to civil fines.
Licensee or Homeowner Name (please print)
Licensee or Homeowner Signature
Date
VI. HOMEOWNER AFFIDAVIT
I hereby certify the plumbing work described on this permit application shall be installed by myself in my own house in which I am living or about to occupy. All work shall be installed in accordance with the current Michigan Plumbing Code and shall not be enclosed, covered up, or put into operation until it has been inspected and approved by the Plumbing Inspector. I will cooperate with the Plumbing Inspector and assume responsibility to arrange inspections.