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2. 
4. CITY OF LAMPASAS PERMIT APPLICATION
8. Fields marked with a " * " are required fields. If the field does not apply to you please complete the field with "N/A"
10. Date of Application*
12. JOB INFORMATION
14. Address1*
16. Address2
18. City*
19. State*
20. Zip*
22. Lot Number
23. Block Number
25. Subdivision
26. Zoning
28. Valuation of Work*
30. Describe Work Being Done*
34. OWNER/NAME ON UTILITIES
36. First Name*
37. Last Name*
39. Address1*
41. Address2
43. City*
44. State*
45. Zip*
47. Phone Number*
48. Fax Number
50. Email Address
51. Cell Number*
55. GENERAL CONTRACTOR
57. First Name*
58. Last Name*
60. Address1*
62. Address2
64. City*
65. State*
66. Zip*
68. Phone Number*
69. Cell Number*
71. Fax Number
72. License Type*
74. License Number*
75. Exp. Date*
79. ARCHITECT/ENGINEER
81. Name of Firm
83. Business Owner's Name
85. Address1
87. Address2
89. City
90. State
91. Zip
93. Telephone Number
94. Cell Number
96. Fax Number
98. Upload Business License
102. ELECTRICAL CONTRACTOR
104. First Name
105. Last Name
107. Address1
109. Address2
111. City
112. State
113. Zip
115. Telephone Number
116. Cell Number
118. Fax Number
119. License Number
121. Exp. Date
125. PLUMBING CONTRACTOR
127. First Name
128. Last Name
130. Address1
132. Address2
134. City
135. State
136. Zip
138. Telephone Number
139. Cell Number
141. Fax Number
142. License Number
144. Exp. Date
148. HVAC/MECHANICAL CONTRACTOR
150. First Name
151. Last Name
153. Address1
155. Address2
157. City
158. State
159. Zip
161. Telephone Number
162. Cell Number
164. Fax Number
165. License Number
167. Exp. Date
171. TDLR ARCHITECTURAL BARRIER REGISTRATION NUMBER
173. Commerical/Retail (If Job Exceeds $50,000) #*
175. License Information & Fee
     No license shall become effective until the required certificate of insurance has been submitted and is on file with the city. The contractor license fee is (your fee) per year.
177. Electronic Signature*

     By checking ?I agree,? you agree and acknowledge your electronic signature is valid and binding in the same force and effect as a handwritten signature. By checking ?I agree ?U agree and understand that it will be your responsibilty to ensure at all times compliance with the applicable laws of the State of Texas, Federal Government, and the City of Lampasas with respect to the permit which may be issued for this project. In accordance with plans and specifications submitted herewith and in full conformity with the provisions and regulation of all ordinances of the City of Lampasas, the City reserves the right to approve or disapprove the project requested based solely upon the representations of the applicant. The Building Inspector is hereby given authority to make inspections of the project site at any time during the progression of the work and stop all work not in conformity with this permit, the plans and specifications or any laws of the State of Texas, Federal Government or the City of Lampasas.The construction permit shall become null and void if work or construction authorized herein is not commenced within six (6) months of if work is suspended of abandoned for a period off six (6) months at any time after the work is commenced.

     1. I Agree
179. This permit is not valid without proper payment/receipt and must have City Official approval/signature.
Leave This Blank:


181. 1. Receive an email copy of this form.
182. Email address

     This field is not part of the form submission.

183. Submit Submit and Print

* indicates a required field