Fillable Form 750469002: HEALTH DEPARTMENT USE ONLY APPLICATION PROPERTY (City of Garland)

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Form 750469002: HEALTH DEPARTMENT USE ONLY APPLICATION PROPERTY (City of Garland)

On average this form takes 6 minutes to complete

The Form 750469002: HEALTH DEPARTMENT USE ONLY APPLICATION PROPERTY (City of Garland) form is 1 page long and contains:

  • 1 signature
  • 2 check-boxes
  • 19 other fields

Country of origin: US
File type: PDF

U.S.A. forms for City of Garland

BROWSE CITY OF GARLAND (TX) FORMS

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BILLING ADDRESS
Name:
Address:
City
/State
Zip:
Work Phone:
I hereby certify that the above information is true and accurate to the best of my knowledge.
I will agree to abide by all provisions of the City of Garland Pool Code.
Applicant is responsible for any court citations issued for inspection violation.
Property Manager or HOA Representative Signature
PROPERTY MANAGER PERSONAL INFORMATION
HOA REPRESENTATIVE PERSONAL INFORMATION
All information in this section must be completed by the Property Manager or HOA Representative.
Failure to comply may delay issuance of permit.
Manager
Name to Appear on Permit:
Manager Home Address:
City/
State:
Zip:
Home Phone:
Drive
r’s License:
Dat
e of Birth:
Sex:
HEALTH DEPARTMENT OFFICE USE ONLY
1. 7.
2. 8.
3. 9.
4. 10.
5. 11.
6.
12.
INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED.
HEALTH DEPARTMENT
P.O. BOX 469002
GARLAND, TX
75046‐9002
Office: 972-205-3460
Fax: 972-205-3505
EnvHealth@GarlandTX.gov
HEALTH DEPARTMENT USE ONLY
Invoice
Number:
Invoice Date:
Issue Date Exp. Date Receipt # Received By
# of Pools/Spas at $300 each
Discount Amount
Invoice Amount
PLEASE CHECK ONE
PROPERTY INFORMATION
Property
Name:
Property
Address:
City
/State:
Zip:
Work Phone:
SWIMMING POOL
PERMIT
APPLICATION
Pool Area:
Permit Number:
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Form 750469002: HEALTH DEPARTMENT USE ONLY APPLICATION PROPERTY (City of Garland)

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Completed 26 April 2022

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