Plumbing Permit (PDF)

Town of Waterford, CT — Building Department
Estimated Cost:
Property Address:
Permit #:
Plumbing Permit Application
Fee: TELY ECL |
Owner:
Owners Address
Phone #
Residential O Commercial 0
Well Oo
Septic Oo Public Sewer Oo
New oO Replacement Oo
Addition Oo
Repair Oo Water Service oO
Sinks Tubs Basins Closets
Showers
Disposal
Dish Washer Heater Washer
Quantity
Master Plumber:
Address:
CT License # & Category:
Phone #:
Plumber’s Signature:
Date:
Owner’s Signature:
Date:
Remarks:
Underground
Rough Inspection:
Final Inspection:
The above signed hereby applies for a permit to do work according to the above specifications. All provisions of the Building Code shall be complied with in the installation
of this work whether specified herein or not. The Plumbing Inspector at his discretion may revoke this permit. It is the applicant’s responsibility to schedule required
inspections.