Permit Application #:
Licence #:
Drain/Plumbing Contractor:
Contact:
Telephone #:
Address:
City/Town:
Postal Code:
Email:
______
_
_
_
______
______
( / )
( / )
This document contains both information and form fields. To read information, use the Down Arrow from a form field.
COMMERCIAL/I
NDUSTRIAL/INSTITUTIONAL
PLUMBING & DRAIN WORKSHEET
P1
Propos
ed Construction
Size/Fee Applicable Fee Plb. Drn.
Domestic Water Service (WS)
Up to 50 mm (2”) $28.54
100 mm (4”) $54.65
150 mm (6”) $83.19
200 mm (8”) $109.36
250 mm (10”) $137.89
300 mm (12”) or larger $164.01
Back Flow P
reventer (new building only)
Up to 25 mm (1”) $13.08
50 mm (2”) $28.54
75 mm (3”) $41.63
100 mm (4”) $54.65
Fire S
ervice (FS)
Up to 50 mm (2”) $28.54
100 mm (4”) $54.65
150 mm (6”) $83.19
200 mm (8”) $109.36
250 mm (10”) $137.89
300 mm (12”) or larger $164.01
Sanita
ry Drain (SD)
Inside Outside
Up to 100 mm (4”) $54.65
150 mm (6”) $83.19
200 mm (8”) $109.36
250 mm (10”) $137.89
300 mm (12”) $164.01
Storm
Drain (SD)
Inside Outside
Up to 100 mm (4”) $54.65
150 mm (6”) $83.19
200 mm (8”) $109.36
250 mm (10”) $137.89
300 mm (12”) $164.01
Man
holes (MH) x $67.73 =
Catch basins (CB) x $67.73 =
Area Drains (AD) x $67.73 =
= Total (A)
Plumbing Fixtures
Water Closet (WC)
Wash Basin (WB)
Bath Tubs (BT)
Shower Stall (SS)
Bidets (BI)
Urinals (UR)
Kitchen Sinks (KS)
Dishwashers (DW)
Washing Machine (WM)
Laundry Tub (LT)
Floor Drains (FD)
Bar Sink (BS)
Drinking Fountain (DF)
Rainwater Hopper (RWH)
Total fi
xture count: X $20.19 = Total (B)
The undersigned certifies that the above information is complete and correct in every respect and that all materials, fixtures and
workmanship will conform with all applicable Provincial Regulations and Municipal By-laws.
Total Plu
mbing Fee (A+B) =
Signature of Owner or Authorized Agent Name (Please Print)
Date:
Grease Inceptors (GI)
x $67.73 =
$ 0.00
0
$ 0.00