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State:             ZIP Code:       


Contractor :






State:              ZIP Code:






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