400
500 W. Walker St. League City, TX 77573 Phone: 281-554-1429 Fax: 281-554-1460
League City, TX
$
Describe work to be done:
Legal Description:
Lot: Block: Section: Subdivision:
Owner: Irrigation Contractor:
Street: Street:
City, State, Zip: City, State, Zip:
Phone: Phone:
E-Mail: E-Mail:
SUB-CONTRACTORS: Company Name
Master's Name Registration #
Electrical:
Plumbing:
Other:
Provided Documents:
Submit 1 Digital Set
Survey
Site Plan
Zone /Head Layout
Flow Calculation
Other
Ifnotusingcityservice,attachacopyoftheapprovedCountyHealthDistrictpermitforthisaddress:
Well Permit
InspectionRequirements:
Printed Name:
Phone No :
Fax No:
E-Mail:
Irrigation Permit Cost Per: Quantity:
Backflow Preventer: Residential Base Fee $100.00
Sprinkler Head:
Valves: Commercial Base Fee: $100.00
Each Additional Zone $25.00
Total:
Additional Comments:
Initial Review
By: Date:
Approved
By: Date:
BUILDINGDEPARTMENT Revised:October2016
Date:
Fee Due:
City of League City
Irrigation Permit Application
Project
Address:
Permit No. :
See Irrigation S.O.P. For inspection procedures
Estimated Cost of Construction:
CRF's Due:
Total Cost:
NOTICE:
I HEREBY CERTIFY THAT I HAVE READ
AND EXAMINED THIS APPLICATION AND KNOW
THE SAME TO BE TRUE AND CORRECT. ALL
PROVISIONS OF LAWS AND ORDINANCES
GOVERNING THE TYPE OF WORK WILL BE
COMPLIED WITH, WHETHER SPECIFIED OR NOT.
THE GRANTING OF A PERMIT DOES NOT PRESUME
TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL
LAW REGULATING CONSTRUCTION OR THE
PERFORMANCE OF CONSTRUCTION.
APPLICANT'S SIGNATURE
The City of League City has established a Backflow Testing Program.
All Certified backflow prevention assembly testers must be register with Utility Billing.
All backflow assembly test reports must be submitted via https//www.bsionlinetracking.com
For Questions Email: Backflow.Assembly@leaguecity.com
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