City of NORTH CANTON, OHIO
145 NORTH MAIN STREET
NORTH CANTON OHIO 44720-2587
PH: (330) 499-5557
FAX: (330) 966-3630
EMAIL: permits@northcantonohio.gov
APPLICATION FOR RESIDENTIAL PLUMBING PERMIT
DATE: PERMIT #
LOCATION ADDRESS: 1 2 3 FAMILY DWELLING (circle one)
PROJECT NAME: SQ. FT. (Round UP to nearest 10 sq. ft.)
TYPE OF IMPROVEMENT:
NEW BLDG ADDITION ALTER/REMODEL
WATER HEATER WATER SERVICE BACKFLOW
GAS LINE BOILER STEAM/LOW PRESSURE
OTHER
IF OTHER, DESCRIBE WORK:
CONTRACTOR: EMAIL:
ADDRESS: PHONE:
CITY: STATE: ZIP
PROPERTY OWNER:
ADDRESS: EMAIL:
CITY: STATE: ZIP
TENANT NAME: TENANT PHONE:
FEES OWED: (FEES COMPUTED BY CITY OFFICIALS)
APPLICATION FEE/ONE TIME INSPECTION FEE- $75.00 $
+ $0.08 PER SQ. FT. x sq. ft. $
CHECK (PAYABLE TO: CITY OF NORTH CANTON) PLAN REVIEW FEE $
CASH (EXACT CASH ONLY) SUBTOTAL $
CREDIT CARD 1% BBS (multiply subtotal by .03) $
**NOTE THERE IS A TRANSACTION FEE FOR ALL CREDIT CARDS** TOTAL $
If you have any questions regarding fee totals please contact the office.
SIGNATURE:
Applicant, Agent, Owner
The applicant, agent, owner of this property and the undersigned is/does (1) agree to conform to applicable ordinances of the
City of North Canton and the State of Ohio, (2) responsible to verify all property lines, (3) responsible for making
arrangements for all inspections.
CALL BEFORE YOU DIG OUPS 1-800-362-2764
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signature
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