PLUMBING PERMIT APPLICATION
(Please complete and be specific. Failure to do so will cause a delay in the issuance of the permit)

THIS APPLICATION DOES NOT CONSTITUTE PERMISSION TO BEGIN WORK. IF WORK IS STARTED WITHOUT A PERMIT, AN INVESTIGATION FEE WILL BE ASSESSED IN ADDITION TO THE PERMIT FEE. THE INVESTIGATION FEE SHALL BE EQUAL TO THE PERMIT FEE.

NO REFUND AFTER THIS PERMIT LEAVES THE OFFICE

THIS PERMIT IS NON-TRANSFERABLE
Address / Location of Property
New Structure / Residential / Commercial / Remodel / Addition
Kitchen sink / Dish washer/ Clothes washer / Laundry Tray / Drinking Fountain / slop Sink / Urinal / Lawn Sprinkler System / Sewer / Water Service
Gas
Electric
Floor Sink or Drain
Water Heater

NOTICE: APPLICANT MUST SUBMIT A LIST OF FIXTURES WITH TYPE OF MATERIALS TO BE USED SUCH AS PIPE, BRAND NAMES, ETC. A DIAGRAM OF ROUGH-IN WORK TO BE DONE MUST ALSO BE SUBMITTED.
Property Owner
Address
Contractor
Contractor Address
*All plumbing work must comply with the 2018 edition of the International Plumbing Code as published by the International Code Council. THE APPLICANT SHALL BE RESPONSIBLE FOR INFORMING ALL PARTIES INVOLVED, INCLUDING THE DESIGN PROFESSIONAL OF ANY CODE NON-COMPLIANCE AS NOTED ON PLANS. INSPECTIONS REPORTS OR ANY OTHER DOCUMENTS ISSUED BY THE BUILDING OFFICIAL/INSPECTOR.
I hereby acknowledge that I have read this application and state that the above is correct and I agree to comply with all City of Kirby ordinances, State Laws, and the International Codes as published by ICC regulating building construction.
Print
Company
Company Address
MM slash DD slash YYYY
MM slash DD slash YYYY
Building Official
GAS WATER HEATER REQUIRES BRINGING VENT UP TO CURRENT CODE
CITY OF KIRBY | 112 BAUMAN STREET KIRBY, TEXAS 78219 | PHONE (210) 661-3198 | FAX (210) 661-4525