Application form
Plumbing Permit Application
Fill in this form below, then print it. Your answers are written onto the township’s original form, ready to sign by hand and mail or drop off. They stay on your device; nothing is sent until you hand in the form.
Contents (10)
PLUMBING PERMIT APPLICATION Rev. 1/11/2026
LINCOLN TOWNSHIP
1882 N. Hope Road
Midland, MI 48642
I. JOB LOCATION
I. CONTRACTOR/HOMEOWNER INFORMATION
III. TYPE OF JOB
IV. PLAN REVIEW REQUIRED
Plans are not required for the following:
- One- and two-family dwellings containing not more than 3,500 square feet of building area.
- Alterations and repair work determined by the plumbing official to be of a minor nature.
- Assembly, Business, Mercantile, and Storage Buildings with a required plumbing fixture count less than 12.
- Work completed by a governmental subdivision or state agency costing less than $15,000.00.
If work being performed is described above, answer Section IV. "Not required."
Plans are required for all other building types and shall be prepared by or under the direct supervision of an architect or engineer licensed pursuant to Act No. 299 of the Public Acts of 1980, as amended, and shall bear that architect's or engineer's signature and seal.
NOTE:
PLANS MUST BE SUBMITTED BEFORE A PERMIT CAN BE ISSUED.
V. HOMEOWNER AFFIDAVIT
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 Plumbing Code and shall not be enclosed, covered up, or put into operation until it has been inspected and approved by the Plumbing Inspector. I will cooperate with the Plumbing Inspector and assume the responsibility to arrange for necessary inspections.
VI. APPLICANT SIGNATURE
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 subject to civil fines.
Signature of Licensee or Homeowner
(Homeowner's signature indicates compliance with Section V Homeowner Affidavit.)
Sign by hand after printing.
COMPLETE APPLICATION ON BACK SIDE
VIIa. FEE CLARIFICATION
MOBILE HOME UNIT SITE: WHEN item is used for sewer excavations in a new park, the permit application should include the application fee plus the number of unit sites. WHEN setting a mobile home in a park, or modular home on a private property, a permit should include the application fee, a sewer or building drain, and a water service or water distributing pipe.
VII.b FEE CLARIFICATION (continued)
FIXTURES, FLOOR DRAINS, SPECIAL DRAINS, & WATER CONNECTED APPLIANCES INCLUDE:
- Water Closets
- Sink (any description)
- Slop Sink
- Drinking Fountain
- Floor Drain
- Shower Stall
- Bathtub
- Emergency Eye Wash
- Bidet
- Condensate Drain
- Roof Drain
- Laundry Tray
- Lavatories
- Emergency Shower
- Cuspidor
- Washing Machine
- Grease Trap
- Urinal
- Dishwasher
- Garbage Grinder
- Refrigerator
- Acid Waste Drain
- Starch Trap
- Water Softner
- Water Outlet Cooler
- Water Heater
- Autopsy
- Embalming Table
- Plaster Trap
- Bad Pan Washer
- Ice Making Machine
- Water Connected Still
- Water Connection to Carbonated Beverage Dispenser
- Connection to Sprinkler System (Irrigation)
- Water Connected Dental Chair
- Water Outlet or Connection to any Make-up Water Tank
- Water connected Sterilizer
- Water Connection to Filters
- Water Outlet or Connection to Heating System
PLUS ANY OTHER FIXTURE, DRAIN, OR WATER CONNECTED APPLIANCE NOT SPECIFICALLY LISTED
VIII. FEE CHART - Enter the number of items being installed, multiply by the unit price for total fee.
| DESCRIPTION | FEE | Number | TOTAL |
|---|---|---|---|
| Application Fee (No Refund) | $75.00 | 1 | $ 75.00 |
| Mobile Home Park Sites* | $ 15.00 | ||
| Fixtures, floor drains, special drains, water connected app. | $ 7.00 | ||
| Stacks soil waste, vent & conductor | $5.00 each | ||
| Sewage ejectors, sumps | $7.00 each | ||
| Sub-soil drains | $7.00 each | ||
| Water Service: Less than 2" | $ 7.00 | ||
| 2" to 6" | $ 30.00 | ||
| Over 6" | $ 66.00 | ||
| Connection bldg/drain/sewers | $ 7.00 | ||
| Sewers sanitary, storm or combined | |||
| Less than 6" | $ 15.00 | ||
| 6" and over | $ 30.00 | ||
| Manholes, Catch Basins | $ 7.00 | ||
| Water Piping | $ 25.00 | ||
| Reduced pressure zone back-flow | $7.00 each | ||
| Domestic water treatment and filtering eqiupment only | $ 7.00 | ||
| Medical Gas Systems | $ 50.00 | ||
| Water Heater | $ 15.00 | ||
| Inspections: | |||
| Special Insp. (pertaining to sale bldg.) | $ 60.00 | ||
| Certification Gee | $ 20.00 | ||
| Additional Inspection | $ 60.00 | ||
| Additions to existing Application | $ 25.00 | ||
| Plan Review $100.00 or minimum of 15% of permit fee | $ 100.00 | ||
| Additional Inspection | $ 75.00 | ||
| Inspection Fee | $ 75.00 | 1 | $75.00 |
| TOTAL |
Total Fee (Must include the $120.00 for the non-refundable Application and final inspection fees)
IX. INSTRUCTIONS FOR COMPLETING APPLICATION
GENERAL: Plumbing work shall not be started until the application for permit has been filed. All installations shall be in conformance with the Plumbing Code. No work shall be concealed until it has been inspected. When ready for inspection, call the inspector providing as much advance notice as possible. The Inspector will need the job location and permit number.
EXPIRATION OF PERMIT: A permit remains valid as long as work is progressing and inspections are requested and conducted. A permit shall become invalid if the authorized work is not commenced within six months after issuance of the permit or if the authorized work is suspended or abandoned for a period of six months after the time of commencing the work. A PERMIT WILL BE CANCELLED WHEN NO INSPECTIONS ARE REQUESTED AND CONDUCTED WITHIN SIX MONTHS OF THE DATE OF ISSUANCE OR THE DATE OF A PREVIOUS INSPECTION. CANCELLED PERMITS CANNOT BE REFUNDED OR REINSTATED.
The Township will not discriminate against any individual or group because of race, sex, religion, age, national origin, color, marital status, handicap or political beliefs.
Make Checks payable to: Lincoln Township
Mail to: Greg Younk, 2251 N. 8 Mile Road, Sanford, MI 48657
For Plumbing inspections please call: Greg Younk, 989-687-7765
Done? Print the completed form, sign it, and hand it in.