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Qt ` ro WORKSHEET FOR POOL COMBINATION PERMIT APPLICATION 5,2015- 0136'
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BUILDING DIVISION
PLEASE PRINT OR TYPE
1. PROJECT ADDRESS (NOT MAILING ADDRIESS)
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2. DESCRIPTION OF
SWIMMING POOL U/ -SPA-E5--
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3.
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CONTRACTOR ME
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STATE LICENSE
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E-MAIL ADDRESS
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OFFICE USE ONLY
PERMIT NO.
PLAN CHECK NO.
POOL P/C FEE
DRAINAGE P/C FEE $
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