Download Swimming Pool Information Sewer Credit

City of North OlmstedPublic Safety & Service Department5200 Dover Center Road- North Olmsted,Ohio
Phone 440.716.4151-Fax 440.777.0480
Sewer Credit-Swimming Pool Application
This application is subject to the City of North Olmsted Code of Oridiances, and all rules and regulations governing the City. ALL information must be filled out
COMPLETELY, with a copy of your entire water bill attached. ONLY the water bill that coincides with the dates the pool was filled will be accepted.
Resident's Information
Name
Phone
Address
Email
City/State
Zip
Swimming Pool Information
Pool Type:
Check One:
Above Ground
Pool Volume:
gallons
Width
Water Depth
feet
Diameter
Water Depth
feet
Width
Water Depth
feet
In Ground
Rectangular:
Pool Size:
Circular:
Other:
Water Meter Readings:
Length
Length
Meter Reading Before Filling Pool
Date:
Meter Reading After Filling Pool
Date:
• Include all digits on meter
• A copy of your water bill that coincides with the dates the pool was filled must be attached
• Application must be completed and submitted to the North Olmsted Service Department
Requirements:
• Application is subject to approval by Director of Public Safety & Service
• Please call the Service Department if you have any questions 440-716-4151
Applicant's Signature:
Office Use:
Date:
Date Received:
Total Due:
Director's Signature:
Date:
Special Notes:
7/23/2013