Middletown, NY · Delaware County

No notary required

Plumbing Permit Application

This packet includes a plumbing permit application for property owners and plumbers, along with plumber license renewal, employee list, and accident report sections.

What this form is

The application collects the job location, owner and plumber details, work description, fixture count, and permit fee and check number. It states that approval and a permit must be obtained from the Plumbing Inspector before work starts. The packet also includes plumber license renewal and employee list sections, plus an accident report for employee incidents.

Who needs it

Property owners and plumbers applying for plumbing work, and plumbers renewing a license or reporting employee information or an accident, may use this packet.

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; it does not identify any attachment or related step that must be notarized or sworn.

How to submit this form

  1. 1

    Download The Packet

    Download the plumbing permit application packet.

  2. 2

    Complete The Applicable Section

    Fill in the plumbing permit application or the relevant license renewal, employee list, or accident report section.

  3. 3

    Gather Any Attachments

    For license renewal, the form refers to a liability insurance copy when coverage is in effect; accident reports for property or auto damage require a repair or replacement statement.

  4. 4

    Submit To The City

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

Frequently asked questions

Do I need a notary for the Plumbing Permit Application?
No. This document is signed and dated without a notary, and it does not identify any attachment or related step that must be notarized or sworn.
What information does the plumbing permit application ask for?
It asks for the work location, building class and stories, owner and plumber details, work description, fixture count, permit fee, and check number.
How do I submit the Plumbing Permit Application?
Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Plumbing Permit Application doesn’t need a notary — but if you have another Middletown form that does, a commissioned online notary can help.