WWW.MONTGOMERYTEXAS.GOV
New Occupancy Permit
Name of Business: ________________________________________________________
Business Owner: __________________________________________________________
Business Address: _________________________________________________________
Phone Number: _____________________ | Cell Number: ______________________
Mailing Address: __________________________________________________________
City: ____________________________| State: ___________ | Zip Code:___________
TOTAL COST DUE: $175.00
A
Certificate of Occupancy
inspection must be performed and
the facility must be
in
compliance with The City of Montgomery’s building code ordinance.
I hereby certify that I have read and examined this application and know the same to be true & correct. All
provisions of law and ordinances governing this type of work will be complied with whether or not specified
herein. The granting of this permit does not presume to give authority to violate or cancel the provisions of
any state or local law regulating construction of the performance of construction.
Applicant Name (print) _________________________________________________________
Applicant Signature __________________________________Date: _________________
NOTICE: YOU WILL ALSO NEED TO HAVE A LIFE & SAFETY INSPECTION FROM THE MONTGOMERY COUNTY FIRE
MARSHALL’S OFFICE ANYTIME THERE IS A CHANGE IN USE. THE INSPECTION AND APPOINTMENT IS MADE
THROUGH THEIR OFFICE. THEY CAN BE REACHED AT 936-538-8288.
OFFICE USE ONLY
APPROVED BY: _______________________________________________ DATE: __________________________
REVISED 06/12/2019
CITY OF MONTGOMERY
101 Old Plantersville Road,
Montgomery, Texas 77316
Phone: 936-597-6434 Fax: 936-597-6437
permits@ci.montgomery.tx.us
PERMIT NUMBER:
click to sign
signature
click to edit
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