WaterSewerDrain Permit Sep 2016

CITY OF FLINT DEPARTMENT OF TRANSPORTATION DEVELOPMENT DIVISION (Formerly Building & Safety Inspection) 1101 S. SAGINAW ...

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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 #:

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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