HomeMy WebLinkAbout05020090-ApplicationBUILDER:
FEG ] 7 2005
Name Phone
x/Ad&ess
Permit No.: ~
State Zip
OWNER:
Fax
State
zip
Pool Heated: Y/N
Flood Zone: Y/N
Auto Filter: Y/N
TOTAL SQ. FOOTAGE:
(Pool and Deck) [~, ."' _
Pool Cover: Y/N ~
Septic System:Y/N ~
Sump Pump: Y/N ~
(if yes, indicate drainage on rote plan)
For Commercial Pools, state
C
Commercial Pools - provide
S
t change in the use of land or stmlctures requested
675 lAC 20-1.1-1 through 20-1.1.22 and 675 lAC
Indiana - 1980, adop[ed under the authority of
75 lAC 10-4-27 "Safety Features".
pool will not be used or occupied mitil a Certificate of Occupancy has been issued by
Indiana.
~ IONS RE IRED:
FEES: Permit Fee: ~
Inspection Fees:
0.0
Cert. Of Occupancy:
_ Date:
Fee Received by: