Evanston, IL · Cook County
Plumbing Owner Affidavit
A single-family residence owner-occupant completes this affidavit to certify responsibilities for plumbing work at the property.
What this form is
The affidavit records the owner-occupant’s certification that they will follow the plumbing code and inspection requirements for work at their single-family residence. It asks for the date, owner and property details, phone and email, and the signer’s printed name, signature, and date. If the owner employs a plumber, the form says the plumber must register with the city and provide the company’s state plumbing license.
Who needs it
An owner-occupant of a single-family residence completes this affidavit when certifying that they will perform plumbing work at the property.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This document is signed and dated without a notary; the signer certifies the information is true and correct, and no notarized attachment or related step is mentioned.
How to submit this form
- 1
Download The Affidavit
Download the Plumbing Owner Affidavit PDF.
- 2
Complete The Form
Enter the date, owner and property information, phone, and email; print your name and sign and date the affidavit.
- 3
Check Plumber Registration
If you employ a plumber, the form says the plumber must register with the city and submit the company’s state plumbing license.
- 4
Submit To The City
Submit the affidavit to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- Who completes the Plumbing Owner Affidavit?
- The form is for an owner-occupant of a single-family residence where plumbing work will be done.
- What information does the affidavit ask for?
- It asks for the date, owner name, full property address, phone, email, printed name, signature, and date.
- Do I need a notary for the Plumbing Owner Affidavit?
- No. The signer signs and dates the affidavit; it mentions no notarized attachment or related step.
- How do I submit the Plumbing Owner Affidavit?
- Submit it to the city department named on the form; check the city website for current contact details.