… · Web viewSWIMMING POOL PERMIT Inside City Limits Outside City Limits Application must be...
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APPLICATION FOR SWIMMING POOL PERMIT Inside City Limits Outside City Limits Application must be completely filled out. Incomplete applications will be returned. Site Address: ________________________________________________________________________ Applicant Name: ________________________________________ Telephone: ___________________ Owner Name: __________________________________________ Telephone: ___________________ Address: _____________________________ City: ________________ State: ____ Zip: ___________ Pool Contractor: Name: ___________________________________________ Telephone: ________________________ Address: _____________________________ City: ______________ State: _____ Zip: ____________ N.C. State License #: ___________ Class: __________ E- mail:________________________________ Expiration of Workers Compensation Insurance: ________/_______/________ Pool Contractor Signature: _____________________________________________________________ Electrical Contractor: Name: ___________________________________________ Telephone: ________________________ Address: _____________________________ City: _________________ State: ______ Zip: ________ N.C. State License #: _____________ Class: ________ E- mail:________________________________ Expiration of Worker’s Compensation Insurance: ________/________/________ “The City of Dunn is an Equal Opportunity Provider and Employer” City of Dunn Planning & Inspections Department 102 N. Powell Ave. P.O. Box 1065 Dunn, NC 28335 Main: (910) 230-3505 Fax: (910) 230-9005
Transcript of … · Web viewSWIMMING POOL PERMIT Inside City Limits Outside City Limits Application must be...
APPLICATION FOR SWIMMING POOL PERMIT
Inside City Limits Outside City LimitsApplication must be completely filled out. Incomplete applications will be returned.Site Address: ________________________________________________________________________Applicant Name: ________________________________________ Telephone: ___________________Owner Name: __________________________________________ Telephone: ___________________Address: _____________________________ City: ________________ State: ____ Zip: ___________
Pool Contractor:Name: ___________________________________________ Telephone: ________________________Address: _____________________________ City: ______________ State: _____ Zip: ____________N.C. State License #: ___________ Class: __________ E-mail:________________________________Expiration of Workers Compensation Insurance: ________/_______/________Pool Contractor Signature: _____________________________________________________________
Electrical Contractor:Name: ___________________________________________ Telephone: ________________________Address: _____________________________ City: _________________ State: ______ Zip: ________N.C. State License #: _____________ Class: ________ E-mail:________________________________Expiration of Worker’s Compensation Insurance: ________/________/________Electrical Contractor’s Signature: _________________________________________________________
Type of Property: Non-Residential ResidentialCost of Construction: $_____________________ Dimensions of Pool: _________ Wide ________ Long
In Ground Above GroundDescription of Proposed Work:______________________________________________________________________________________________________________________________________________________________________
Applicant Signature: ______________________________________Date:__________________Inspector Signature: ______________________________________Date:__________________
*Development permit and Site plan will need to be completed and submitted with this permit application. Permit will not be processed without these
documents.
“The City of Dunn is an Equal Opportunity Provider and Employer”
City of Dunn Planning & Inspections Department102 N. Powell Ave. P.O. Box 1065Dunn, NC 28335Main: (910) 230-3505 Fax: (910) 230-9005
