League City Building Department
500 W. Walker St. League City, TX 77573 Phone: 281-554-1429 email@example.com
REQUEST FOR TEMPORARY UTILITIES
Date: ____________________________________ Permit #: __________________
We, the general contractor and electrical contractor, request the use of temporary utilities
for construction and the testing of equipment. We understand the issuance of a permit for
temporary utilities in no way grants permission to occupy or use any building, or portion
thereof, unless all inspection for the building have been approved and a Certificate of
Occupancy has been issued. We further understand the temporary utilities may be
disconnected for any violation of the Building Code. The general contractor and owner
assume the responsibility for any violation of any city ordinance by a sub-contractor.
The temporary electrical permit will be in force for the life of the building permit (6
months). If more time is required to complete the building, a new application and fee shall
be submitted by the electrical contractor.
The undersigned hereby agrees to the indemnity and holds forever harmless the City of
League City, its officers, and employees from any and all claims or causes of action
alleged to have been caused directly or indirectly by the temporary use of utilities for
which this application is made.
♦ ♦ ♦ ♦ ♦ NOTE ♦ ♦ ♦ ♦ ♦
A FINE OF UP TO $200 PER DAY MAY BE ASSESSED IF A STRUCTURE IS
OCCUPIED PRIOR TO THE ISSUANCE OF A CERTIFICATE OF OCCUPANCY BY
THE CITY OF LEAGUE CITY
General Contractor: Master Electrician:
Print Name Print Name