Forms • Lamesa • CivicEngage

Buildings and Inspection Department Application for Permit

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	Date: Permit No.*
Permit No.*
To the inspector of buildings: The undersigned hereby applies for a permit to build according to the following specifications:
1. Street address of property:*
2. Lot No. *
Block *
Subdivision*
Zoning Classification*
3. Owner*
Address*
Phone:*
E-mail:*
4. Building Contractor:*
Address:*
Phone: *
E-mail*
5. Plumbing Contractor:*
Address:*
Phone:*
License#*
6.HVAC Contractor:*
Address:*
Phone:*
License#:*
7.Electrical Contractor:*
Phone:*
EAB #:*
Purpose of Permit**
9. New residential construction features:*
Bedrooms*
Bathrooms:*
No. of Stories*
Basement*
Garage/Carport:*
No. of families:*
Other:*
10. Commercial Construction Classification:*
11. Type of exterior finish:*
12. Size of Lot:*
13. Size of building:*
No. of Feet Front*
No. of Feet Deep*
Height*
14. Setback from Curb:*
Setback from Lot Lines*
15. Variance No.*
16. Foundation Type*
Foundation depth: Edge*
Center*
Rebar Size:*
17. Foundation Treatment Provided By:*
18. Type of Roof: *
Roofing Material:*
19. HVAC System Size and Type*
Water Heater Size and Type*
20. Water Meter tap Size*
Sewer Tap Size*
Gas Line Size*
Electric Service Size*
21. Mobile Home Description*
Year Model:*
Serial No. *
22. Value of Construction (Labor and Material):*
By checking this box, I certify that on the above date I made application at the Building Inspector's Office for a permit to erect, remodel, repair, or remove a building or part thereof in accordance with this detailed statement, and plans filed with the Building Inspector, and I agree to construct said buildings in conformity with said plans and detailed statement, and in compliance with all provisions of the Building Ordinance and all applicable codes, and that the statement of the estimated value is correct. State of Texas, County of Dawson, City of Lamesa* I agree Fee Collected Paid by: Cash Check Credit Card Employee initials: Inspection Dept *

* indicates required fields.

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