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Septic System Installation Permit Application

  1. Terrell AmericaCity of Terrell

    Municipal Development

    201 E. Nash St. | Terrell, TX 75160

  2. Type of Permit

  3. Applicant Information

  4. Property Identification

  5. Include copy of deed, sales contract, plat, etc.

  6. Residential

  7. Commercial (Including Multi-Family)
  8. Installer Information

  9. The undersigned applicant certifies that all information supplied herein is true and correct to the best of my knowledge and no incorrect information we provided for purposes of obtaining a permit to construct an on-site sewage facility and applicant either owns and/or has authority to construct an on-site sewage facility on this property. Permission is hereby granted to a designated representative of the licensing authority, City of Terrell Municipal Development Department, to enter said property for purposes of inspection, to determine compliance with applicable laws, standards, rules and regulations.

  10. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

  11. Please note: all information must be provided, any missing or incomplete information may cause a delay in the approval of the permit.

  12. Leave This Blank:

  13. This field is not part of the form submission.