Plumbing & Mechanical Permit Application

Plumbing

	Qty	Amount
Commercial Sewer Connection - $200.00 Fee
Commercial Water Connection - $275.00 Fee
Residential Sewer Connection - $100.00 Fee
Residential Water Connection (Dual Meter) - $265.00 Fee
Fixture Openings (Up to 4) - $20.00 Fee
Each Fixture Beyond (4) - $4.00 Fee
Back Flow Valve (Required for New Construction Sprinkler System) - $4.00 Fee
Alterations to Piping or Drains, Wastes/Vents - $25.00 Fee
Electric Water Heater (New Construction) - $20.00 Fee
Total:

Gas/HVAC

	Qty	Amount
Gas Piping ONLY - $25.00 Fee
Air Exchange Unit - $20.00 Fee
Commercial Central Air (Up to 8 Tons) - $35.00 Fee
Residential Central Air - $25.00 Fee
Gas or Oil Burning Appliance - $25.00 Fee
New Heat System or Furnace (Up to 200,000 BTU) - $30.00 Fee
Propane Tank Installation - $15.00 Fee
Temporary Heating System (Propane/Nat. Gas/Generators) - $20.00 Fee
Alterations to Duct Work or Hot Water/Steam Piping - $25.00 Fee
Total:

By checking this box I understand that all permits MUST be secured prior to work being started. Completion of this permit application signifies the applicant has read and examined all details and certifies the information to be true and correct. All City of Glyndon laws and ordinances governing this type of work will be compiled with whether specified herein or not.*

I understand
Signature*

Clear
Date*

MonthDayYear
Date
City Building Inspector:

Steven Schroeder
218-849-3618
FOR OFFICE USE ONLY
Date:
Permit #:
Issued By:
City Hall: 36 3rd Street SE | PO Box 223 | Glyndon, MN 56547 | www.glyndonmn.com | 218-498-2578 | Fax: 218-498-2579
Should be Empty:

FOR OFFICE USE ONLY