Required fields are marked with asterisks (*)

Plumbing inspection report

Permit number

Municipal site address

Indicate who completed the plumbing work? Only one can be chosen.

homeowner (only applicable if the building is 1 or 2 units, and the property address is the principal residence of the homeowner)

licensed plumber

unknown (licensed plumber to review and confirm no deficiencies were found, correct issues as required)

drain layer (only applicable for building sewer and storm sewer installations)

Note: Completed form shall be submitted prior to final plumbing inspection. The final plumbing test to be witnessed by the Inspector.

Inspection by a Municipal Building Official does not relieve the owner or contractor of any responsibility to comply with all relevant by-laws, codes, regulations and legislation.

As per the 2024 Ontario Building Code, I hereby certify that all applicable tests have been carried out at the above address as required under sub-sections 7.3.6. and 7.3.7. and the domestic hot water temperature, for all tubs and showers, has been limited to 49°C (120°F) per sentence 7.2.10.7.(4)

I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the above terms of acceptance.

Yes, I agree with the above.

Land acknowledgement

The City of Kitchener is situated on the traditional territory of the Chonnonton, Anishinaabeg, and Haudenosaunee Peoples. We recognize our responsibility to act as stewards for the land and honour the original caretakers who came before us. Our community is enriched by the enduring knowledge and deep-rooted traditions of the diverse First Nations, Métis, and Inuit Peoples who live in Kitchener today.