BUILDING DIVISION
200 S. Hamilton Road
Gahanna, Ohio 43230
Phone: 614-342-4010
Fax: 614-342-4117
building@gahanna.gov
www.gahanna.gov
PERMIT NO. __________________________
MP No. ______________________________
☐ No Master Permit
RECD. BY _________ DATE: _____________
PLUMBING PERMIT APPLICATION
TO REQUEST AN INSPECTION, CALL 614-525-3160
The undersigned hereby applies for a permit to do plumbing and an inspection of same at the following location and in accord with
Chapter 4101:2-51 of the OAC and all regulations of Franklin County Public Health.
*** Effective January 1, 2017, Hot Water Heater Permits are charged at “Per Fixture” rates.***
Misc. Fees (For Franklin County Public Health Department Use Only)
State Approved Modular Home Inspection
Re-Inspection Fee – Based upon Disapproved Inspections
FCPH Master Plumber Registration Number
Signature of owner or owner’s authorized agent
THIS FORM IS AVAILABLE TO BE SUBMITTED ONLINE: HTTPS://OHGA.ONLAMA.COM
Ice Machine (not within refrigerator)
Interceptor, Garage / Oil
Total Fixtures All Columns
Application Fee & 1
st
Fixture
Fixtures @ $15.00 each
$15.00 X
Ohio BBS Fee (1% of above amount)
Application Fee & 1
st
Fixture
Fixtures @ $ 20.00 each
$20.00 X
Ohio BBS Fee (3% of above amount)
$
$
$
$
$
$
$
$
PAGE 1 of 1 | PLUMBING PERMIT | REV. 3.6.2018
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