Home Our City Departments Building Inspections Homeowner's Permit Request Form Homeowner's Permit Request Form Edit Form Homeowners Permit Request Form Date Field* Homeowner's Name* Homeowner's Address* Phone Number* Cost of Job*? Who is work being done by?* Homeowner Contractor Projected Start Date* Type of Permit* PLUMBING ELECTRICAL HVAC FENCE CARPORT REMODEL MOVING OR DEMOLITION SPRINKLER SYSTEM / BACKFLOW Other Other DESCRIBE WORK BEING DONE* Contractor's Name and Phone Number if not the Homeowner* Homeowner Affidavit*I HEREBY CERTIFY THAT THE WORK DONE ON THE ABOVE STATED PROPERTY SHALL BE PERFORMED BY ME AND WILL BE MY LEGAL RESIDENCE OF RECORD FOR THE NEXT 2 YEARS. I AM AWARE THAT I WILL NOT BE ALLOWED TO OBTAIN A BUILDING PERMIT WITHIN A (2) TWO YEAR PERIOD AS A HOMEOWNER FOR WORK AT ANY OTHER ADDRESS DURING THIS TIME PERIOD. ALL WORK SHALL BE DONE IN ACCORDANCE WITH THE CITY OF DUMAS BUILDING CODE. I WILL COOPERATE WITH THE CITY OF DUMAS BUILDING OFFICIAL AND ASSUME THE RESPONSIBILITY TO ARRANGE FOR REQUIRED INSPECTIONS. Owner Signature* Date* Building Official Signature* Date