Certificate Of Compliance With The Inefficient Plumbing Fixtures Replacement Plan Ordinance (Section 25-45 Through Section 25-60) printable pdf download

Certificate Of Compliance With The Inefficient Plumbing Fixtures Replacement Plan Ordinance (Section 25-45 Through Section 25-60)

Certificate of Compliance

with the

Inefficient Plumbing Fixtures Replacement Plan Ordinance (Section 25-45 through Section 25-60)

Purchasers of properties constructed before 1993 must submit this Certificate of Compliance certifying that all structures

on the property only contain water conserving plumbing fixtures before obtaining water service. The service address must

be inspected by a licensed plumber or home inspector and this certificate must be signed verifying that all plumbing

fixtures are water conserving fixtures. If your property is exempt from compliance, you must submit the Exemption Form

with your application for water/sewer service.

__________________________________________________________

(Please Print) Applicant’s Last Name

First Name

_________________________________________________________________________________________________

Service Address

City

State

Zip Code

I, ________________________________________ pursuant to the laws of the State of Georgia assert under

(Inspector’s Name)

penalty of perjury, that all structures on the property only contain water conserving plumbing fixtures and that all

other kinds of plumbing fixtures have been removed from all structures on the property.

__________________________

______________________________

_____________

___________________

Licensed Plumber, Print Name

Signature

Date

GA License Number

___________________________

_______________________________

_____________

____________________

Home Inspector, Print Name

Signature

Date

Business License Number

Please fax this certificate, along with your application for water/sewer service, to Treasury and Accounting Services at 404-687-3504.

Certificate Of Compliance With The Inefficient Plumbing Fixtures Replacement Plan Ordinance (Section 25-45 Through Section 25-60)