Form Center

2. Street Address
3. Subdivision
5. Present Permit for Structure
6. Block
7. Lot
9. Existing Building

   1. Yes
   2. No
10. Present Use
12. Owner's Name
14. Owner's Complete Address
16. Please Check all that apply

    1. Commercial Use
    2. Single Family
    3. Duplex

    1. Art
    2. Condo

    1. Units
    2. Multi-Family

    1. Additions
    2. Alterations
18. Work must commence within 6 months of issuance and not be abandoned in excess of 12 months or permit will become VOID.
20. Check if Applicable

    NOTE: BACKFLOW PREVENTERS MUST BE INSTALLED ON ALL IRRIGATION SYSTEMS.

    1. Plumbing

    1. Fire Suppression

    1. Irrigation {backflow preventer installed}
22. Type of Water Service

    1. Public
    2. Well

    1. Septic Tank
    2. Sewage

    1. Other
24. Need size of public or well and if other please explain
26. This application is true and complete to the best of my knowledge and the proposed work meets all codes and ordinances of the City of Watkinsville, Watkinsville, Georgia.
28. Contractor
29. Mailing Address
31. City
32. State
33. Zip
34. Phone
36. Business License Number
37. State Certification Number
39. Contractor's Signature
40. Date
    Date
Leave This Blank:


41. Print Only

* indicates a required field