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This electronic form is not an actual permit. It should be used as a worksheet to help gather the necessary information. This information will then be transferred at the discretion of the Inspection Department if a permit is to be issued.

(Additional information for a Building Permit)

* Denotes required field

*For a Building Permit, a zoning inspection is necessary prior to the issuance of a permit.
*A plan review may be necessary before a building permit can be issued.

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City of Webster City Plumbing Permit Application | Download PDF Version
Job Address* Job Address, Line 2:
Permit Number: Phone:*
Type:
Lot Block Addition
Legal Description:*
Owner Name:* Owner Address:*
Owner Phone:* Owner Address, Line 2:
Plumber Name:* Plumber Address:*
Plumber Phone:* Plumber Address, Line 2:
Occupancy Group: Zone:
License Number: #
Water Tap: The City shall be entitled to a 24 hour notice before a ¾ inch or a 1 inch tap is installed. Notice of larger taps needed shall be given in enough time in advance to enable the City to obtain the necessary materials and equipment.
Number Used: Fee:
¾ inch, 1 inch & above water tap: Cost: $
House Sewer – New – Reconstructed : Cost: $
Water Service – New – Reconstructed: Cost: $
Septic Tank: Cost: $
First Fixture:
Water Closet (Toilet): Cost: $
Bathtub: Cost: $
Lavatory (Washbasin): Cost: $
Shower: Cost: $
Kitchen Sink/Disposal: Cost: $
Dishwasher: Cost: $
Laundry Tray: Cost: $
Clothes Washer: Cost: $
Urinal: Cost: $
Drinking Fountain: Cost: $
Floor Sink or Drain: Cost: $
Water Heater: Cost: $
Other (Specify): Cost: $
  Water Connection Fee (If Applicable): $
  Sewer Connection Fee (If Applicable): $
  Total Cost: $
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