PLUMBING PERMIT - City of Buffalo

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CITY OF BUFFALO - Department of Permit and Inspections. PLUMBING DEPARTMENT. 65 Niagara Sq. City Hall Room 312 Buffalo, NY 14202. Phone ( 715) ...
CITY OF BUFFALO - Department of Permit and Inspections PLUMBING DEPARTMENT 65 Niagara Sq. City Hall Room 312 Buffalo, NY 14202 Phone (715) 851-5067

PLUMBING PERMIT

For Office Use only: Application # __________________ Fee: __________________

I, the undersigned request permission to perform plumbing work within the City of Buffalo as outlined in this application. I understand that all such work shall be in compliance with all City of Buffalo and State of New York rules and regulations, which may apply.

Address for Permit: ________________________________________________________________________ number

street

ZIP

Structure use classification (include square footage unless using flat fee): ___________________________________ Brief explanation of work to be done: _________________________________________________________________

APPLICATION FEE

$25.00

FLAT FEE

Permit & inspection fee

$______

AREA CALCULATED FEE

Plan review fee

$______

Permit & inspection fee

$______

Plan review fee

$______

permit & inspection fee

first 10,000 sq ft

$______

permit & inspection fee

over 10,000 sq ft

$______

SITE STORM PIPING

TOTAL $______

Property Owner

_______________________________________

Licensed Master Plumber

_______________________________________

Business Name

_______________________________________

Phone _______________

Under penalties of perjury, I declare that I have examined this application and all information listed upon it is correct and accurately reflects all plumbing work being done by myself and/or by my company.

Master Plumber Signature ________________________________

Date ___________

Permit Approved by:

Date ____________

________________________________

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