Irrigation Verification FormBuilding Safety
215 E McKinney St
Denton, Texas 76201
(940) 349-8360
www.CityofDenton.com/Building
Irrigation Verification Form
Address Permit #
_______ _______ Completed "Final Walk-Through" with the owner of the irrigation system
_______ _______ Completed maintenance checklist, supplied by Irrigator, containing owners signature
_______ _______
_______ _______
_______ _______
Irrigation System Owner, Print Licensed Irrigatior, Print
Irrigation System Owner, Signature Licensed Irrigator, Signature
Irrigator License Number
Jan-2020
By signing below, the licensed Irrigator acknowledges that, "This irrigation system has been installed in accordance with all
applicable state laws, ordinances, rules, regulations or orders. I have tested the system and determined it has been installed
according to the irrigation plan and is properly adjusted for the most efficient application of water at this time".
Department of Development Services
This form is to verify that the licensed Irrigator has conducted the "Final Walk-Through" with the owner of the irrigation
system. This checklist must be initialed and signed by both parties.
Provided the manufacture's manual for automatic controllers, seasonal watering schedule, and a list
of components that require maintenance with the recommended frequency of service.
Attached to the controller is a permanent sticker containing the irrigators name, license number,
contact information, and dates of the warranty period.
Provided a plan to the irrigation owner documenting the location of all the installed parts of the
irrigation system.