CITY OF TULSA
FACSIMILE PERMIT REQUEST
FAX: (918) 699-3100 OFFICE: (918) 596-9656
CONTRACTOR NAME: ACCT #:
INSPECTION ADDRESS:
OWNER’S NAME: BLDG PERMIT #:
RESIDENTIAL: Yes No COMMERCIAL Yes No NEW CONSTRUCTION Yes No
PLUMBING PERMIT REQUEST FORM
PRESSURE REDUCING VALVE REQUIRED
RELOCATED BUILDING
BACKFLOW ASSEMBLY
IRRIGATION
COUNT
COUNT
COUNT
BACKFLOW ASSEMBLY
IRRIGATION SYSTEM
WATER CLOSET
SUMPS/PITS
URINAL
FLOOR DRAIN
LAVATORIES
ROOF DRAIN
SINKS
WATER HEATER
SHOWER -
COMBO PAN STALL
VALVE
INTERCEPTER/
SEPARATOR
TUB
COMBO NEW
VALVE
GAS PIPING
BIDET
GAS OPENING
BLDG WASTE LINE
OTHER (Specify Details):
YOUR NAME:
YOUR PHONE # YOUR FAX #
PERMIT #: PERMIT FEE: $
NOTE: FAXED PERMITS ARE ISSUED BETWEEN THE HOURS OF 8:00 A.M. AND 4:15 P.M.
MONDAY THROUGH FRIDAY.