| City of Fort Oglethorpe, Georgia | ||||||
| Plumbing Permit | ||||||
| July 8, 2009 | ||||||
| Property Location | Description of Work: | |||||
| Subdivision: | Fixtures | Fee | Quantity | Total Fee | ||
| Lot Number: | Water Closets | $5.00 | $0.00 | |||
| Physical Address: | Tubs | $5.00 | $0.00 | |||
| Showers | $5.00 | $0.00 | ||||
| Lavatories | $5.00 | $0.00 | ||||
| Owner Information | Sinks | $5.00 | $0.00 | |||
| Washing Machines | $5.00 | $0.00 | ||||
| Name: | Dishwashers | $5.00 | $0.00 | |||
| Address: | Food Disposals | $5.00 | $0.00 | |||
| City, State Zip | Urinals | $5.00 | $0.00 | |||
| Phone Number: | Drinking Fountains | $5.00 | $0.00 | |||
| Bidets | $5.00 | $0.00 | ||||
| Water Heaters | $5.00 | $0.00 | ||||
| Contractor Information | Sand Traps | $5.00 | $0.00 | |||
| Grease Interceptors | $5.00 | $0.00 | ||||
| Name: | Oil Interceptors | $5.00 | $0.00 | |||
| Business Name: | Condensate Drains | $5.00 | $0.00 | |||
| Address: | Floor Drains | $5.00 | $0.00 | |||
| City, State Zip: | Back Flow Prevention | $5.00 | $0.00 | |||
| Phone Number: | Over 5 Devices | $3.00 | $0.00 | |||
| License Number: | Water Service | $10.00 | $0.00 | |||
| Water Distribution Lines | $10.00 | $0.00 | ||||
| Drainage/Vent Lines | $10.00 | $0.00 | ||||
| Type of Construction | Building Sewers | $10.00 | $0.00 | |||
| Lateral Sewer | $70.00 | $0.00 | ||||
| [] New Construction [] Alteration [] Addition | Sanitary Sewer | $70.00 | $0.00 | |||
| Street Cut | $200.00 | $0.00 | ||||
| Issue Fee | $20.00 | $20.00 | ||||
| Property Use | Sub Total | $20.00 | ||||
| Admin. Fee | $5.00 | $5.00 | ||||
| [] Residential [] Commercial [] Industrial | Total Permit Cost | $25.00 | ||||
| Signatures | Notice | |||||
| Contractor: | THIS DOCUMENT BECOMES THE PLUMBING PERMIT | |||||
| WHEN SIGNED FOR OR BY THE CHIEF BUILDING OFFICIAL | ||||||
| Building Official: | ||||||