Plumbing Installation Application

Application is hereby made for plumbing construction or reconstruction. Application for Plumbing Installation permit must be made and the permit issued prior to starting work.

Name of Applicant:

The Applicant is the Property Owner and the property is the PRIMARY residence of the applicant.

Yes

Name of Master Plumber

Property Owner Phone Number

Property Owner Email

Address of Proposed Installation

Address or Location

Applicant Email Address

Applicant Phone Number

Type of Building

Residential

Commercial

Description of Proposed Work

Will a connection be made to a public sanitary sewer?

Yes

Will a connection be made to a storm sewer?

Yes

Will a connection be made to a private disposal system?

Yes

Plans and specifications may be required by the Building Official.

Upload Documents

Click Here to Upload

Fee Amount: $20

Balance of Permit Fee will be calculated upon project completion and final inspection.

It is hereby agreed that all work will be done in a workmanlike manner, with the rights of the public safeguarded and all plumbing installed, constructed or replaced shall be in accordance with the specifications as to labor methods and materials used as permitted and required by the State of Iowa Plumbing Code and amendments thereto and to the City Code of Spencer, Iowa. Further, that the City of Spencer, Iowa is to be saved harmless from all expenses or cost in connection therewith and from all damages, law suits, attorney's fees, costs or charges that may accrue on account of said work. I further agree to notify the plumbing inspector of completed plumbing as required by City Code.

Applicant Signature

First Name

Last Name

Choose how to sign

Draw Type

I agree to electronically sign and to create a legally binding contract between the other party and myself, or the entity I am authorized to represent.

For Use by Building Official:

Payment Method: Paid / Invoice

Invoice Account #

Permit #

Invoice Code: PLMBP