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REPLACEMENT WATER HEATER PERMIT
APPLICATION/FEE WORKSHEET
REV 10-2021
Planning & Development
Building Services
309 N 5
th
Street
Norfolk, NE 68701
P402-844-2060 F402-844-2069
www.norfolkne.gov
DATE:
Firm Requesting Permit:
Phone:
Firm Address:
Project Address:
Property Owner: Phone:
Commercial: Residential:
Estimated Cost:
GAS WATER HEATER: SIZE:
(gallons)
ELECTRIC WATER HEATER:
SIZE:
(gallons)
COMMERCIAL WATER HEATERS ONLY: No. of BTU’s:
Note: The minimum permit fee ($32.00) is being charged for water heater permits.
JOB DESCRIPTION:
PERMIT FEE: $
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