OWNE
R:
JOB SITE ADDRESS:
CONTRACTOR:
CONTRACTOR ADDRESS:
EMAIL:
TELEPHONE: CELL PHONE:
WO
RK DESCRIPTION:
NOTICE: SEPARATE PERMITS ARE REQUIRED FOR PLUMBING AND ELECTRICAL.
FOR OFFICE USE ONLY
APPROVED BY: TOTAL:
$650.00
DATE:
Name of Applicant: _________________________________________________________________________
Applicant Signature: _______
_________________________________________________________________
REVISED-06/12/2019
RESIDENTIAL SWIMMING POOL
PERMIT APPLICATION
Expires in 6 months (180 days) Non-Transferable
DATE
:
PER
MIT NUMBER:
101 OLD PLANTERSVILLE ROAD,
MONTGOMERY, TEXAS 77316
PHONE: 936-597-6434
FAX: 936-597-6437
PERMITS@CI.MONTGOMERY.TX.US
I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions
of law and ordinances governing this type of work will be complied with whether or not specified herein. The granting
of this permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating
construction of the performance of construction.
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