Complete Application For Plumbing Permit

"*" indicates required fields

Instructions

STOP! Before filling out this form, please call our main office at (512) 261-6222 ext. 110 to confirm your location is serviced by Lakeway MUD.

If you prefer, you may instead print and mail or deliver this form. [ Printable Version ]

This Application may be completed by:
- the person in whose name service is or will be provided at the Service Address (only if you will be performing the work yourself); or
- the plumber/irrigator who will be performing the work at the Service Address. (any other licensed professional performing work should fill out form as "plumber/irrigator")
With a completed Application, the Applicant must also submit:
- payment for the required Fees; and
- copy of Photo Id.; and
- copy of valid Texas Plumbing/Irrigator License (if Application completed by Plumber/Irrigator).
After issuance, the Plumbing Permit must be posted on-site at the Service Address.
Billing for water and wastewater services will commence on the service start date, whether or not the property is occupied. The first billing will be prorated over the number of days the service was active. For new construction or new reuse water accounts, billing for services will commence when the meter is set. This includes water volume usage, plus water and wastewater base charges, plus minimum volume charge of 6,000 per month for wastewater. See Winter Averagingor our Rate Order for details.

Applicant Information

Applicant is:*

Service Address Owner (only complete if doing the work yourself)

Licensed Plumber / Irrigator

Hidden

Service Address Owner Information

Service Address Owner's Name*

First Last

Social Security #

Driver's License #

State of Issuance

Other Government Issued ID # and Description

Photo ID

Max. file size: 2 MB.

Telephone (main)

Telephone (cell)

Email*

Plumber Information

Plumber/Irrigator Name

First Last

Company or Business Name

Website

please include https://

EIN or Federal Tax ID. #

Texas Plumbers License #*

License Expiration Date*

MM slash DD slash YYYY

Texas Plumbing License*

Max. file size: 100 MB.

Driver's License #*

State of Issuance*

Driver's License*

Max. file size: 2 MB.

Telephone (main)

Telephone (cell)

Email*

Addresses

Service Address (where work is to be performed)*

Street Address Address Line 2 City State ZIP Code

Applicant's Address

Same as Service Address?

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Plumbing Service to be Performed

Project Type*

New Construction

Remodel

Water Heater

Pool

Irrigation System

Irrigation System - Reuse Connection

Other

Other Project Type

Plumbing Permit Required

Prior to commencement of work, a Plumbing Permit must be issued by LMUD for work at the Service Address.Work started without a plumbing permit is subject to fines, stop work orders, and rework. A building permit may also be required by the City of Lakeway.

Plumbing Standards

LMUD’s orders, rules, regulations, policies, and guidance documents are available on the LMUD website at: https://lakewaymud.org/service-providers/guideline-requirement-documentation

Additional Water and Wastewater Requirements

Wastewater:

Grinder Pump Used

Yes

Important Note: If a grinder pump is present or required, LMUD will provide maintenance per the FY 2019/2020 Rate Order update.

For LMUD-installed grinder pumps, additional installation fees may apply.

For customer-installed grinder pumps, some repairs may require additional fees.

For all customers with a grinder pump, please call us to request a work order for maintenance to be performed

Water:

At no cost to LMUD, Applicant must install, or cause to be installed, at the Service Address, a tap (if no tap is pre-existing), a water service line commencing at LMUD’s water meter and connecting to the Service Address or point of use, and a cut-off valve.

Permit and Inspection Fees

LMUD’s permit and inspection fees shall be those adopted by LMUD’s Board of Directors in its Rate Order, which may be revised from time to time by LMUD’s Board of Directors in its sole discretion. A brief summary of LMUD’s current permit and inspection fees are available at LMUD’s Administrative Offices and online.

Inspection Scheduling and Project Close Out

Only licensed plumbers authorized to perform work at the Service Address, request inspections, and request project close-out. LMUD uses a third-party service provider to perform its inspection services. Contact information for LMUD’s inspection service provider is available at LMUD’s Administrative Offices and on-line.

Applicant Signature and Certification

By my/our signature(s) below, I/we hereby certify the information provided herein and following statements are true and correct:

I/we am/are the

Owner

Lessee(s)

Plumber

of the property located at the Service Address listed above[referred to as the "Applicant" in this Agreement]. Applicant desires to perform or cause to be performed plumbing services at the Service Address.

Applicant agrees to comply with LMUD’s rules, regulations, codes, and guidance documents, and to pay all fees and charges, as the same are now existing and as they may be revised in the future.

APPLICANT(S) AGREE(S) TO WAIVE, RELEASE, AND HOLD LMUD HARMLESS FROM ANY CLAIMS AND DAMAGES RESULTING FROM MALFUNCTION, FAILURE, OR ABSENCE OF CHECK VALVES, BACKFLOW PREVENTION DEVICES, AND PRESSURE RELIEF VALVES, INCLUDING WITHOUT LIMITATION, DAMAGES TO PERSONS OR PROPERTY, DIRECT DAMAGES, SPECIAL DAMAGES, INCIDENTAL DAMAGES, CONSEQUENTIAL DAMAGES, OR LOSS OF PROFIT OR REVENUE.

Applicant

Applicant's Signature*

Applicant's Name*

First Last

Applicant Signature Date*

MM slash DD slash YYYY

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Comments

This field is for validation purposes and should be left unchanged.

Instructions

Applicant Information

Service Address Owner Information

Plumber Information

Addresses

Plumbing Service to be Performed

Plumbing Permit Required

Plumbing Standards

Additional Water and Wastewater Requirements

Permit and Inspection Fees

Inspection Scheduling and Project Close Out

Applicant Signature and Certification

Applicant

Lakeway Municipal Utility District

Customer Support

Quality Matters

Six Years