Fillable PERMIT APPLICATION RECEIVED PERMIT NUMBER City of Round (City of Round Rock, Texas)

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PERMIT APPLICATION RECEIVED PERMIT NUMBER City of Round (City of Round Rock, Texas)

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File type: PDF

U.S.A. forms for City of Round Rock, Texas

BROWSE CITY OF ROUND ROCK, TEXAS (TX) FORMS

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RECEIVED
PERMIT NUMBER
PERMIT APPLICATION
City of Round Rock
Job Address Date
Subdivision Block Lot Section
Owner of Property Mail Address City, State, Zip Phone
General Contractor Mail Address City, State, Zip Phone
Contact Name Email Phone
Electrical Contractor Mail Address City, State, Zip Phone
Plumbing Contractor Mail Address City, State, Zip Phone
Mechanical Contractor Mail Address City, State, Zip Phone
Architect or Designer Mail Address City, State, Zip Phone
Engineer Mail Address City, State, Zip Phone
Addition Const Trailer Demo Finish Out New Remodel Repair Replace Tenant Change
Describe Work Type of Const Permit Fee
# of Dwelling Units Meter Fee
Occupancy Group W/S Line Insp Fee
Use Zone Water Impact Fee
Total Sq Ft Sewer Impact Fee
# of Stories Landscape Fee
Fire Sprinklers Yes No Structural Steel Fee
In Flood Plain Yes No WW Discharge Fee
TDLR # Oversize Fee
Regional Detention Fee
Fire Fee
Valuation of Work $ Receipt # Total Paid
NOTICE
This is a one-permit system; separate permits are not required for electrical, plumbing, heang, venlang or air condioning. An Addional
electrical permit is required ONLY when the project is not new. This permit becomes null and void if work or construcon authorized is not commenced
within 6 months.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF
LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT. THE GRANTING OF A
PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
Signature of Contractor or Authorized Agent Printed Name Date
Signature of Owner (If Owner Builder) Printed Name Date
Name of Project ______________________________________
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PERMIT APPLICATION RECEIVED PERMIT NUMBER City of Round (City of Round Rock, Texas)

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Completed 4 August 2020

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