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Commercial Multi-Family Plumbing Permit Application Eagle, ID 83616 660 E Civic Lane City of Eagle Building Department Contact Name: Company: Phone: (208) 489-8760 Email: [EMAIL REDACTED] Plumbing Contractor Information Contact Phone: Address, City, Zip: Address: Job Location Subdivision: Lot: Block: Owner/Builder's Name: Owner/Builder Address: License # Expiration: Plumbing Permit Requested For: (Enter number required in appropriate categories below) Commercial Multi-Family How do you prefer to receive the 'Plumbing Permit' - fill in the appropriate box below: 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: Sewer/Water Lines Combo Sewer Line Only Water Line Only Fee Enter # Fee Enter # Notes Total Plumbing Permit Fee: $50.00 Base Fee (per unit) *Make sure to add base fee from box above if using fixture worksheet* Check/Cash Pay On-Line(Link on Home page) Permit Total Number of Units ($50.00 Base Fee per unit) Base Fee 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. I certify that the information contained herein is complete and accurate to the best of my knowledge. Email: Pick up Hard Copy at Building Department Signature: Date: 0 0 0 0 0 ---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. Commercial Multi-Family Fixture Worksheet Use this worksheet to calculate the number of Fixtures for Plumbing Permit Permit # Total Fixtures Miscellaneous (Describe in Notes Field above) Water Conditioners Floor Drains Washer Boxes Water Heaters Toilets Lavs Sinks Commercial Multi-Family Worksheet Only Baths/Showers Total will automatically be inserted in 'Fixture Total' in Permit Application above. A base fee of $50.00 per unit will be added 0 0 0 0 0 0 0 0 0 0