Plumbing Permit Application
City of Borger Department of Planning & Development
600 N. Main Street, Borger, TX 79007
Phone: (806) 273-0908 · Fax: (806) 273-0911
www.borgertx.gov
P
Permit applications must be submitted 24 hours prior to the issuance of the Permit.
Project Information
Permit Type
New Commercial New Residential Commercial Remodel Residential Remodel
Apartment Remodel Yard Line Repair (Gas Test)
Job Type:
Water Sewer Gas
Project Name: Parcel I.D. / Tax Account #
Address
Describe the project in detail:
______________________________________________________________________________________________
______________________________________________________________________________________________
_________________________________________________________
Identification
Name Telephone: Cell Phone:
Address City State Zip
Email Address Fax Number:
if not the homeowner
Name Telephone: Cell Phone:
Address City State Zip
Email Address Fax Number:
Plan Review
Plans Submitted
Plans not required
Plans must be submitted before a permit can be issued, except as listed below:
Plans are not required for the following:
1. One and Two Family Dwellings.
2. Alterations and repair work determined by the building official to be minor.
3. Buildings with a required fixture count less than 12
4. Work completed by a governmental subdivision or state agency costing less than $25,000.00
Plans are required for all other building types and shall be prepared by or under the direct supervision of an architect or engineer licensed
pursuant to State of Texas statutes and shall bear the architect’s or engineers seal and signature.
Applicant Information
APPLICANT IS RESPONSIBLE FOR THE PAYMENT OF ALL FEES AND CHARGES APPLICABLE TO THIS
APPLICATION.
Applicant: Contractor Homeowner (**See Homeowner Affidavit Below)
I HEREBY CERTIFY THAT THE PROPOSED WORK IS AUTHORIZED BY THE OWNER OF RECORD AND THAT I HAVE BEEN AUTHORIZED BY
THE OWNER TO MAKE THIS APPLICATION AS HIS/HER AUTHORIZED AGENT, AND WE AGREE TO CONFORM TO ALL APPLICABLE LAWS OF
THE STATE OF TEXAS AND THE CITY OF BORGER. ALL INFORMATION SUBMITTED ON THIS APPLICATION IS ACCURATE TO THE BEST OF
Applicant Signature: Date Daytime Phone #:
Printed Name Address
click to sign
signature
click to edit
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