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Owner:         

 

Address:       

 

City:          

 

State:             ZIP Code:       

 

Contractor :

 

Address:     

 

City:          

 

State:              ZIP Code:

 

Phone:       

 

Email:    

 

Legal Description:       

Lot No.:                  Subdivision: 

 

Block No.:                     Zoning: 

 

Job Address:    *Note: Do not guess at address, if you are not sure contact the Engineering Dept. for assistance.

 

Class of Work:    Residential            Commercial

Architect:            Phone:  

 

Engineer:             Phone:   

 

Electrician:           Phone:   

 

Plumber:              Phone:  

 

HVAC:                 Phone:  

 

Square Footage of Building:      

 

Size of Lot:  

 

Value of Work:     

 

Water Tap Size:        *Click here to look at the tap fees.

 

Sewer Tap Size:   

 

TDLR Review submitted? Yes No    If yes, EABPRJ no.

 

Describe Work:

Please type the letters and numbers you see in the below graphic into the space

provided and then click on the submit button.  This is to prevent form spam.  Thanks