Mount Pleasant, MI · Isabella County

No notary required

Affidavit for Determining the Number of Plumbing Fixtures

Business owners use this affidavit to report the building’s maximum number of employees and non-employees when determining required plumbing fixtures.

What this form is

This affidavit reports the maximum number of employees and non-employees in a business building at any given time, which the city uses to determine the number of required plumbing fixtures. The form says a reduction may be permitted based on actual occupant load, but it does not establish the building’s occupant load. It asks for the business address and name, owner, person counts, and the owner’s signature and date.

Who needs it

A business owner seeking to establish the required number of plumbing fixtures based on the building’s actual occupant load needs to complete this affidavit.

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 without a notary; the owner certifies the information and signs and dates the affidavit.

How to submit this form

  1. 1

    Download The Affidavit

    Download the plumbing fixtures affidavit PDF.

  2. 2

    Complete The Form

    Provide the business address and name, owner, maximum employee and non-employee counts, and total number of people in the building.

  3. 3

    Sign And Date

    The owner certifies the information, then signs and dates the affidavit. No attachments are identified on the form.

  4. 4

    Submit To The City

    Submit it to the city department named on the form; check the city website for current contact details.

Frequently asked questions

What does the plumbing fixtures affidavit do?
It reports the maximum number of employees and non-employees in a business building at any given time to help determine the required number of plumbing fixtures.
What information does the affidavit ask for?
It asks for the business address and name, owner, maximum employee and non-employee counts, total persons in the building, and the owner's signature and date.
Do I need a notary for the plumbing fixtures affidavit?
No. This document is signed without a notary; the owner certifies the information and signs and dates the affidavit.
How do I submit the plumbing fixtures affidavit?
Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Affidavit for Determining the Number of Plumbing Fixtures doesn’t need a notary — but Michigan residents can notarize other documents online with a commissioned online notary.