Swimming Pool Permit Form - Municiplity Of Waterville printable pdf download

MUNICIPLITY OF WATERVILLE

APPLICATION FOR SWIMMING POOL PERMIT

Permit Number

DATE ___________________

APPLICANT _________________________________

PHONE __________________________

ADDRESS

_____________________________________________________________________

OWNER IF DIFFERENT FROM APPLICANT: __________________________________________

ADDRESS ______________________________________________________________________

DESCRIPTION OF POOL:

All pools shall comply with Barrier Requirements of §1145.13 (f)

___ Above-Ground: Length _____ Width _____ Depth_____ Circular: Diameter _____ Depth _____

___ Inflatable: Diameter _____ Surface Area ______ Depth _____

___ In-Ground: Length ____ Width _____ Depth _____

___ Hot Tub: Surface Area _____ Barrier meets requirements of §1145.13 (h) (4) _____

IS POOL TO CONNECT TO SANITARY SEWER? YES ____ NO _____

NAME OF INSTALLER __________________________________PHONE ____________________

ADDRESS _______________________________________________________________________

This application must have a drawing attached showing where the pool is going to be located on the lot in relation

buildings. The drawing must also show lot lines, size of lot, and how far away from lot lines. A swimming pool must be at

least five feet from all lot lines.

IN CONSIDERATION OF THE GRANTING OF THIS PERMIT, the applicant does herby covenant and agree to construct said

work in all respects in compliance with the provisions of the Statutes of the State of Ohio, the Lucas County Building Code

and the Code of Ordinances of the City of Waterville, and that all statements as made are correct and true, and that all

orders of the City of Waterville will be complied with.

CONTACT LUCAS COUNTY AT 419-213-2990 for Electrical and Gas Permit Information!

POOL PERMIT

FOR OFFICE USE ONLY

Pool Permit Fee - $55.00 + 0.10 per sq. ft.

Permit Fee: $ _______________________

Date Paid: _________________________

Receipt # ________________________

Plans Inspected by: _______________________________________

Date _____________

Zoning Inspector

Approved by: ____________________________________________

Date _____________

City Administrator

Swimming Pool Permit Form - Municiplity Of Waterville