12-31-19
Building Safety
125 W. Mountain St.
Fayetteville, AR 72701
479.575.8238
permit@fayetteville-ar.gov
Subdivision Name __________________________________________________________________________________
*Subdivision where project is located*
Project Name/Owner/Builder ________________________________________________________________________
Project Site Address _______________________________________________________________________________
A septic letter and proof of ownership matching the project address is required unless on a City approved step system.
Plumbing Contractor ______________________________________________________________________________
If your contact information has changed, please inform a staff member so it may be updated.
Project Details: Residential Commercial
New Addition Alteration Repair/Replace
# of Units ________ # of Stories ________
Water Service: New Existing
Description of Work _______________________________________________________________________________
A separate plumbing permit is required for irrigation.
Hooking onto existing line New Irrigation Meter
$ ________________________
$ __
______________________
$ ________________________
Estimated Valuation of Work $ ____________________
Total Number of Fixtures _________________________
First 5 Fixtures = $20.00; Each Additional Fixture = $1.75
Total Number of Inspections Under Concrete _________
$10.00 per inspection under concrete
Total Number of Inspections needed for project _________
$20.00 per inspection (fee for each outside City inspection)
Total $ ___________________
(Minimum Fee = $20.00)
This permit becomes null and void if work or construction authorized is not commenced within 6 months, or if construction or work is
suspended or abandoned for a period of 6 months at any time after work is commenced.
I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of law and ordinances governing
this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or
cancel the provisions of any other state or local law regulation construction or the performance of construction.
Signature ________________________________________________________________________________________
Master Plumber
Outside City Plumbing Permit Application
click to sign
signature
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