City of Washington, Georgia Return To: Permit Clerk Plumbing Permit Washington City Hall 102 East Liberty Street /1 PO Box 9 Washington GA 30673 Location Number and Street Name: Date: Expires: Permit #: Map & Parcel: Owner Name: Phone: Cell: Mailing Address: Contractor Name /Address: License #: Telephone #: Cell: Zoning: Estimated Job Cost $ Type of Work New Residential Residential New Commercial Renovation/Addition, Mobile Home Commercial Renovation/ Addition Number ofFull Bathrooms Number ofHalfBathrooms Inspections Under Slab Date Complete Rough In Date Complete Inspector Sewer Connection Date Complete Inspector Inspector - All Work Complete Final Inspection Date Complete Inspector Permit Cost $ Signature