City of Troy
500 W Big Beaver Rd, Troy MI 48084
248-524-3344
buildinginspection@troymi.gov
REVISED 5/27/2024
PLUMBING PERMIT APPLICATION
NAME OF HOMEOWNER
HAS A BUILDING PERMIT BEEN OBTAINED FOR THIS PROJECT?
Yes No Not Required
STREET ADDRESS AND JOB LOCATION (Street Number
and Name)
NAME OF CITY, VILLAGE OR TOWNSHIP IN WHICH JOB IS
LOCATED
Troy Michigan
Oakland County
Section 23a of the state construction code act of 1972, 1972 PA 230, MCL 125.1523a, prohibits a person from conspiring to
circumvent the licensing requirements of this state relating to persons who are to perform work on a residential building or a
residential structure. Violators of section 23a are subjected to civil fines. I, _______________________________________
(name), ___________________________________ (title), attest that the statements, specifications, and plans submitted with
this application are true and complete and contain a correct descript
ion of the building or structure, lot or parcel, and proposed
work. I further attest that this application complies with the requirements of MCL 125.1510 and that I am a person authorized
under MCL 125.1510(2) to make the statements and attestations contained in this application under MCL 125.1510(2)
SIGNATURE OF CONTRACTOR OR HOMEOWNER (Homeowner’s signature indicates
compliance with Section VI. Homeowner Affidavit)
X
DATE
P
lease give a description of work:
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
WHO IS THE APPLICANT
C
ontractor Homeowner
CONTRACTOR BUSINESS NAME OR HOMEOWNER
NAME (ONLY IF APPLICANT IS HOMEOWNER)
NUMBER
EXPIRATION DATE
ADDRESS (Street Number and Name)
CITY
ZIP CODE
TELEPHONE NUMBER (Include area code)
EMAIL ADDRESS:
WORKERS COMPENSATION INSURANCE CARRIER (or reason for exemption)
FEDERAL EMPLOYER ID NUMBER (OR REASON FOR EXEMPTION)
I hereby certify the plumbing work described on this permit application shall be installed by myself in my own home in which I am living or
about to occupy. All work shall be installed in accordance with the Michigan Plumbing Code and shall not be enclosed, covered up, or put
into operation until it has been inspected and approved by the Cities Plumbing Inspector. I will cooperate with the Cities Plumbing
Inspector and assume the responsibility to arrange for necessary inspections.
City of Troy
500 W Big Beaver Rd, Troy MI 48084
248-524-3344
buildinginspection@troymi.gov
REVISED 5/27/2024
Unit Fee
No.
Total Fee
Contractor Registration Fee
$ 35.00
Extra Inspection
$ 90.00
Special Inspection
$ 90.00
General Plumbing Permit Fees
Unit Fee
No.
Total Fee
Stacks/Conductors
$ 20.00
Sink
$ 20.00
Bathtub
$ 20.00
Water Closet
$ 20.00
Water Heater (New)
$ 20.00
Water Heater (Replacement)
$ 50.00
Laundry Stand Pipe
$ 20.00
Floor Drain, Water Receptor, Hub Drain
$ 20.00
Ejector Pump
$ 20.00
Drinking Fountain
$ 20.00
Grease Interceptor
$ 20.00
Urinal
$ 20.00
Shower
$ 20.00
Dishwashing Machine
$ 20.00
Humidifier
$ 20.00
Garbage Disposal
$ 20.00
Sump or Interceptor
$ 20.00
Hose Bibs
$ 16.00
Water Softener/Filter
$ 20.00
Dental Chair
$ 20.00
Inside Sub Soil Drain System
$ 30.00
Roof Sump
$ 20.00
Back Water Valve
$ 20.00
Backflow Prevention Device
$ 20.00
Medical Gas (Per Opening)
$ 20.00
Miscellaneous Fixtures
$ 20..00
Ice Maker
$20.00
Sump Pump
$20.00
AAV – Air Admittance Valve
$20.00
Rough Prep Per – Opening
$10.00
Water Distribution
Unit Fee
No.
Total Fee
3/4"
$ 30.00
1”
$ 40.00
City of Troy
500 W Big Beaver Rd, Troy MI 48084
248-524-3344
buildinginspection@troymi.gov
REVISED 5/27/2024
1 – 1/4”
$ 50.00
1 – 1/2”
$ 60.00
2”
$ 70.00
2 – 1/2"
$ 90.00
3”
$ 110.00
4”
$ 126.00
Over 4”
$ 150.00
Total Due
$