Swimming Pool Renewal Application
Business Owner Information:
Date Tax ID #
Name _____________________________________ Business Phone ____________________________________________
Name of Business _______________________ Business Owner Name__________________________________
Business Address
Suite Zip Code
Mailing Information:
Name Phone
Mailing Address City
State Zip Code
Property Owner Information:
Name Phone
Address City
State Zip Code General Information:
Gate Code (if applicable) ___________________________
Emergency Contact Phone
Name of person holding Certified Pool Operator
Certification_____________________________________________________Expiration Date _______________________
Health Permit Information:
Permit # New Pool Application Fee: $250.00
#4418
Swimming Pool (number of pools) @$160.00 per pool
Consumer Health Renewal Swimming Pool Application
PHONE 940-349-8360 FAX 940-349-7208
Consumer Health Division * 401 N. Elm St. Denton, Texas 76201 * 940.349.8360 * 940.349.7208 Fax