City of Danville

                                                                   Application for Plumbing Permit

Project Address/Location
Owner's Name
Owner's Address
Contractor's Name
Contractor's Address

Description of Work: 

Type of Building              Type of Work        

Building occupied by:                Number of Stories    

Building construction type:        Building used as:   

ITEMS

QUANTITY

DESCRIPTION

FEE
Restaurant/Culinary Sink
Clinical Sink
Dishwasher
Garbage Disposal
Waste Interceptor/Separator
Floor Drain
Hub/Stand Pipe Drain
Drinking Fountain
Sanitary Sewer
Water Service
Water Closet
Urinal
Lavatory
Shower/ Bath Tub
Kitchen Sink
Utility/Service Sink
Laundry Sink
Bar/Beverage Sink
Floor Sink/Receptor
Water Htg. Equip. (single dwelling)
Water Heater (other)
Fire Safety Sprinkler (LTD area)
Equip. Supply/Backflow Preventor
Special Fixture/Device/Plumbing
Water Treatment Equipment
Other
Applicant certifies that all information given is correct, and that all pertinent plumbing and mechanical ordinances will be complied with in performing the work for which this application is made.

City of Danville Copyright © 2008. All rights reserved.
Revised: 06/10/08