HomeMy WebLinkAboutS2020-0180 - Permit ApplicationWORKSHEET FOR POOL COMBINATION PERMIT APPLICATION
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PLEASE PRINT OR TYPE BUILDING DIVISION S2020 •01 so
1. PROJECT ADDRESS (NOT MAILING ADDRESS)
LLEGAL DESCRIPTION
LOT BLOCK TRAIT
2. DESCRIPTION OF WORKK)PPW F�Ci0L C
SWIMMING POOL 1 SPA
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_ ESTIMATED M
POOL FENCING ❑
lT
DRAINAGE
3. OWNER'S NAME
LAST
FIRST
ADDRESS
OWNER'S E-MAIL ADDRESS
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CITY
..---STATE
ZIPII
PHONE NO.
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4. EN NEE 'S NAME
LAST
FIRST
LICENSE NO.
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ADDRESS
ENGINEER'S E-MAIL ADDRESS
CITY
STATE
ZIP
PHONE NO.
5. CONTRACTOR'S NAM
BUSINESS LICENSE
STATE LICENSE
1-661 lAl&jjt,4
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6A f
No.WClass
ADDRESS
COCTOR'SE- fl -ADDRESS
CITY
STATE
I ZIPPHONE
NO.
X USE ONLY
PERMIT NO.
PLAN CHECK NO.
POOL P/C FEE $
DRAINAGE P/C FEE $
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