HomeMy WebLinkAbout06020084-Application
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Swimming Pool/ Spa Iii' ~ J\~ermitNo.(I(/[f).iJJ~
Permit Application FEB 2 1 2006'1 I
Q'tyof Cannell Cla.y TownshiD, d j I
I I
Phone
31'7'-
,
~UILDER:
OWNER:
Name
I~OLS of F"lA,j
P,O, Box I Addre..
38
Name
Phone
3" .5
City
C'affY\e[
COj1struction
Location: AddreSS of ConstrUction
Estimated Cost of Construction:
(pool and Deck) I -
. ~;~,=t
Pool Jeated: Y/N
,
Flood Zone: Y/N
Auto Filter; Y/N
City
;-
[Y]
I tJ~l:::>
UltJ
~.
Y/N [1]
Septic System:Y/N aa
Sump Pwnp: Y/N
(if ye'. indicate drainage on Sl p
State
,1-N
O' 7?7l'
State
TiV
Section
State
.~tV
Fax 3 i 7
f:J 0,- II L 0
Zip
LI" !.
Fax
-
Zip
?CJ33
ZoDing
R..-\
Zip
RETYPE:
1_ II
For Commercial Pools. ,tate
Class of pool beinll built:
1.-
Commercial Pool, - provide
Slate Desiltn ReleJUe No.:
1-
//cYfYO
Inspection Fees: / (, o. )'0
Cert. Of Occupancy: 5"1 jo
~/ TOTjLy/C/G'PO
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Fee R..,.,ived by: </
FEES:
Signature f Owner or Authorize
~eM'kdS .
(Print)
BZA Approval: Y/N 0
BZA Docket No.:
Date:
Cf?~(u Ml)FIf... (,'7_7.--06
Reviewed I ApprOved By: DepL of CommWliIl' Somees
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