Pool/Spa Permit Application FORM – English Required Contact Information SWIMMING POOL / SPA PERMIT APPLICATION Facility Information Send pool sample results to this location? Yes Other Describe or name each pool or spa associated with this facility or business: (example: men’s spa, splash pool, lap pool) Facility Mailing Information (If different from facility address) Owner Information Billing Information Send Bill To: Owner Facility Third Party (Provide third party information below) Fees: $150 – Year-round pool/spa $100 – Seasonal pool/spa Permits are non-transferable Any change or transfer of ownership will be subject to a plan review to assess code compliance. Application Signature Click the SEND button only once. It will take just a moment to process your information. You will receive a confirmation email if your submission was successful.