Date Project Address Plumbing Permit #
(Issued By City)
Owners Name Phone # ( )
Address City Zip
E-mail Address Tax Key #
Contractor 24 hr. Phone # ( )
Address City Zip
Project Description Masters Plumbers License #
Total = ___________
Description Each Count Fee
Automatic Washer, Sink/Dishwasher, Garbage Disposal, Water Closet/Urinal, 6.00 each ______ _______
Shower/Lavatory, Laundry Tub, Bath Tub
Hot Tub, Spa, Whirlpool 10.00 each ______ _______
HID light pole base each pole 25.00 each ______ _______
Drinking Fountain, Floor Drain/Sight Drain, Sillcock, Water Heater 5.00 each ______ _______
Wash Fountain, Sump Pump, Ejectors or Pump, Water Softener, Storm Sewer 6.00 each ______ _______
Conductor, Backflow Prevention Device ______ _______
Plan Review 15.00 ______ _______
Sprinkler Heads ($1.00 ea) Minimum 50.00 ______ _______
Fire Hose Rack, Fire Dept. Connection, Hydrant 5.00 ______ _______
Fire Suppression Systems Restaurant Stoves, Fryers, Boilers
15.00
______ _______
Sanitary Building Drain First 75 Feet 50.00 ______ _______
Over 75 Feet .35/ft ______ _______
Storm Building Drain First 75 Feet
50.00
______ _______
Over 75 Feet .35/ft ______ _______
Manhole 10.00 ______ _______
Catch Basin 6.00 ______ _______
Water Service First 100 ft of lateral 60.00 ______ _______
Over 100 ft of lateral .35/ft ______ _______
Sanitary Building Sewer First 100 ft of lateral 50.00 ______ _______
Over 100 ft of lateral .35/ft ______ _______
Storm Building Sewer First 100 ft of lateral
50.00
______ _______
Over 100 ft of lateral .35/ft ______ _______
Extension of house drain where fixtures already installed 50.00 ______ _______
Septic Abandonment 50.00 ______ _______
Other (Specify) 25.00 ______ _______
Minimum Permit, Reinspect or Failure to call for Inspection 50.00 each
Double fees are due if work started before permit is issued.
Contact your Oconomowoc utility for further rules and regulations @ (262) 569-2196.
For inspections call the building inspector @ (262) 569-2195.
The applicant agrees to comply with the municipal ordinances and with the conditions of this permit, understands that the issuance of the permit creates no legal liability, expresse or implied, of
the Department, Municipality, Agency or Inspector, and certifies that all the above information is accurate. Have Permit/Application number and address when requesting inspections.
Signature of Applicant_________________________________________ Date ____________________________
Print and sign permit, then mail or drop off along with permit fee (cash or check).
Permit will not be processed until all requirements are received.
V:\Building Inspections\Plumbing Permits\Plumbing Permit FF 6.8.20.pdf
Total Inspection Fee ___________________
New Building Addition & Remodeling
Replacement, Modifications or Individual Items
City of Oconomowoc
Department of Building Inspection
174 E Wisconsin Ave. Oconomowoc, WI 53066
www.oconomowoc-wi.gov 262.569.2195
PLUMBING PERMIT
APPLICATION
Permit Approval by Permitting Authority. Application is hereby approved and permit issued by the City of Oconomowoc subject to
full compliance by the Applicant with all conditions set forth by the Department of Public Works.
Check # : ____________________________ City Representative: _________________________________
Date: ______________________________ Date: _____________________________________________
From: ______________________________
Conditions of Approval: _____________________________________________________________________________________________________
Office Use
NO REFUNDS ON PERMIT FEES
Base Fee of $50.00 + (______sq/ft for all areas x
.06 sq/ft) = ____________
(Base Fee of $50.00) + (calculated area x .06 is a min fee of $70.00) = (a total o$120.00 which is a min fee)
(a min fee of $120.00)
Clear
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