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Residential Plumbing Permit Application Email: [EMAIL REDACTED] Fax: (208) 489-8767 Phone: (208) 489-8760 Eagle, ID 83616 660 E Civic Lane City of Eagle Building Department Contact Name: Company: Plumbing Contractor Information Contact Phone: Address,City, Zip Address: Job Location Subdivision: Lot: Block: Owner/Builder's Name: Owner/Builder Address: License # Expiration: Structure Type: Plumbing Permit Requested For: (Enter number required in appropriate categories below) Residential: How do you prefer to receive the 'Plumbing Permit' - fill in the appropriate box below Fax # Email New Building Addition Remodel Other: Ready for Inspection? (Next working Day) No Yes Type of Inspection THIS PERMIT is issued subject to the regulations contained in the 2012 Building and Plumbing Codes and Zoning Regulations of the City of Eagle and it is hereby agreed that the work be done as shown in the plans and specifications will be completed in accordance with the regulations pertaining and applicable thereto. Total Number of Fixtures (use worksheet below) Permit will be issued when paid in full via Check, Cash, or Credit Card (Credit Card Payments are subject to a non-refundable Portal Admin Fee of 3% plus $1.00) Choose Payment Method: No. Pick up Hard Copy at Building Department Inspections are Monday thru Friday Lawn Sprinkler Backflow Sewer/Water Lines Combo Sewer Line Only Water Line Only Mobile Hm Sewer/Water Fee Enter # Fee Enter # Notes Total Plumbing Permit Fee: $50.00 Base Fee Included Pay On-Line Check/Cash (Link on Home page) Please Note: Use 'New Home Application' for New Homes I certify that the information contained herein is complete and accurate to the best of my knowledge Signature: Date: ---PAGE BREAK--- City Staff Use Only Enter Total Number for Each Fixture Type Copy of worksheet is Required with Plumbing Permit Application which includes Fixtures. The number of fixtures will be verified by Plumbing Inspector during the 'Rough' Inspection. Residential Fixture Worksheet Use this worksheet to calculate the number of Fixtures for Plumbing Permit Please Note: Use 'New Home Application' for New Homes Permit # Total Fixtures Miscellaneous (Describe in Notes Field above) Water Conditioners Floor Drains Washer Boxes Water Heaters Toilets Lavs Sinks Residential Worksheet Only Please Note: Use 'New Home Application' for New Homes Commercial - fill out bid amount and job scope on Commercial Plumbing Permit Application. Baths/Showers Total will automatically be inserted in 'Fixture Total' in Permit Application above.