OWNE
R:
JOB SITE ADDRESS:
CONTRACTOR:
CONTRACTOR ADDRESS:
EMAIL:
TELEPHONE: CELL PHONE:
RE
SIDENTIAL:
COMMERCIAL:
WORK DESCRIPTION:
LES
S THAN 5,000 SQ. FT OVER 5,000 SQ. FT
FOR OFFICE USE ONLY
APPROVED BY:
BASE FEE: $50.00
INSPECTION FEES: $75.00
DATE:
TOTAL: $125.00
Name of Applicant: ___________________________________________________________________________________
Applicant Signature: __________________________________________________________________________________
REVISED 06/12/2019
IRRIGATION PERMIT APPLICATION
Expires in 6 months (180 days) Non-Transferable
DATE
:
PER
MIT NUMBER:
101 OLD PLANTERSVILLE ROAD,
MONTGOMERY, TEXAS 77316
PHONE: 936-597-6434
FAX: 936-597-6437
PERMITS@CI.MONTGOMERY.TX.US
I hereby certify that I have read and examined this application and know the same to be true and 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.
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