New Facility/First Inspection:
Annual Inspection:
Address: _______________________________________ Business/Facility Name: _______________________
City, State: _____________________________________ Zip: __________________
Contact Name: _________________________________ Phone: ______________________________________
Fax: _________________________________ Emergency Phone: ____________________________________
Electric Provider: ____________________________________________________________________________
Water Utility Provider: _______________________________________________________________________
Gas Provider: ____________________________________ Public Provider: Propane:
Signature of Applicant: _______________________________________ Date: ____________________
Print Name of Applicant: _______________________________________________________________
City Official Approval: _________________________________________ Date: ___________________
Inspector Approval: ___________________________________________ Date: ___________________
Fee Submitted: ______________ Date: ______________ Received by: __________________________
City Permit #: _______________________ Inspector Project #: ________________________________
105 N 4th Street, P.O. Box 349, Gunter, TX 75058-0349
Phone: 903.433.5185 Fax: 903.433.8039
Email: utilityclerk@ci.gunter.tx.us
Fire and Life Safety Inspection Application
Please complete the application and return with payment to city hall.
Annual Fee:
$150.00
click to sign
signature
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