CITY OF FLINT DEPARTMENT OF TRANSPORTATION DEVELOPMENT DIVISION (Formerly Building & Safety Inspection) 1101 S. SAGINAW ST RM# S106 FLINT, MI 48502 Telephone: (810) 766-7284
Acc #:
Date of Application
Permit #:
Ch#
R#
WATER SERVICE AND SEWER AND DRAIN PERMIT Make check payable to: Treasurer, City Of Flint PLEASE TYPE OR PRINT Job Location
Signature of Contractor
Contractor's Name Name of Owner
Street Address City
State
Zip Code
Street Address
City
State
Phone #
Driver License #
Plbg. Lic. #
City Lic. #
Zip Code
Telephone
ITEM Base fee *Bldg. SewerSanitary *Bldg. SewerStorm Catch Basins $43.50 Manhole Cover $43.50
NEW
RELAY
REPAIR
QUANTITY
SIZE
LENGTH
Connection of bldg drain to bldg sewer $24.00 Residential Sewer Repair $140.00 (NO BASE)
Water Service:
up to 1" 1-1/2" 2" 3" 4" over 4"
$54.00 $84.00 $126.00 $168.00 $213.00 $273.00
* See reverse for fee schedules Note:
IT IS THE CONTRACTORS RESPONSIBILITY TO CALL FOR A FINAL INSPECTION. Permit Base Fee is non-refundable
TOTAL FEE: Minimum fee: $140.00
FEE $75.00
SEWER (Sanitary & Storm - up to 150 feet lines)
Inches Less than 6 8 10 12 14 16 18 Over 18 Per ft over 150 ft
$ 140.00 166.00 180.00 200.00 208.00 217.00 237.00 247.00 1.00
Sump line is special rate of (No Base Fee)
140.00
Residential sewer repair only (No Base Fee) Manhole & catch basins Sewage sumps, ejections
140.00 43.50 20.00
Connection of building drains to building sewer
24.00
Heat reclaimer for ind./comm. Water heater (No Base Fee)
140.00
Lawn sprinkler system (Not including backflow device)
140.00
Water softener & water conditions (Special rate, No Base Fee)
140.00
Total this side:
Totals