City of Tomball, Texas 501 James Street, Tomball, Texas 77375 Phone: 281-290-1402 www.tomballtx.gov
Revised: 1/20/2020
BUILDING PERMIT (PLUMBING) APPLICATION
CITY OF TOMBALL
501 James Street
Tomball, Texas 77375
(281) 290-1402 (281) 351-4735 Fax
www.ci.tomball.tx.us
Date:
Permit Number:
(Assigned by Permit Office)
Physical Address of Project: ________________________________________________________________
Owner’s Name: _____________________________ E-Mail: _________________ Phone: _____________
Tenant’s Name: _____________________________E-Mail: _________________ Phone: _____________
Engineer: __________________________________ E-Mail: _________________Phone: _____________
Architect: __________________________________E-Mail: _________________ Phone: _____________
Contractor: ________________________________ E-Mail: _________________ Phone: _____________
Add
ress:
Ci
ty:
State:_______Zip: ___________
Contractor Contact: _____________________________ E-Mail: _________________________________
COMMERCIAL NEW DEMOLITION
RESIDENTIAL
ADDITION
REMODEL
REPAIR
NOTICE:
Separate permits are required for electrical, heating, ventilation or air conditioning. This permit becomes null
and void if work or construction authorized is not commenced within 6 months, or if construction or work is
abandoned for a period of 6 months at any time after work is commenced. All provisions of laws and ordinances
governing this type of work will be complied with whether specified herein or not. The granting of a permit does
not presume to give authority to violate or cancel authority to violate or cancel the provisions of any other state
or local law relating to construction, nor does it give authorization or approval to encroach on any easement or
property or violate any deed restrictions. The City of Tomball shall never be liable for any damage or loss by
reason of the issuance hereof. Each holder and other persons acting under authority of this permit are
personally responsible for compliance with all the above provisions and assume the entire risks incidental to the
work being permitted.
Building Permit (Plumbing) Fee
PLEASE NOTE:
** Contractor must provide Liability Insurance with a minimum of $500,000 of combined single limit coverage
Equal to or Greater than the contract amount, whichever is greater. The City of Tomball must be listed as the
“Certificate Holder” on the policy.
** Master Plumber or Authorized Agent must sign the Plumbing Application form.
I hereby certify that I have read and examined this application and know the same to be true and correct.
Applicant / Contractor (print)
Applicant / Contractor (signature)
