APPENDIX D: FIRE HYDRANT USE PERMIT FORM FOR FILLING POOLS

 

FIRE HYDRANT PERMIT NO. ________    FOR FILLING POOLS ONLY   Date Issued ________________________ Date Pool is to be Filled* ______________________   Address Where Pool is being Filled _________________________________________________   Location of Fire Hydrant Approved for Use __________________________________________   Size of Pool: Rectangular Length ________ X Width ________ X Average Depth ________ X 7.48 = Capacity Round Diameter2 ________ X .785 ________ X Average Depth ________ X 7.48 = Capacity   Total Gallons: _________________ or Gallons per Truck Load ____________________   Service Charge: $5.00 Water Charge: ______________ + Tax ______________   Total Cost ______________   Name of Applicant: ________________________________   Address of Applicant: ______________________________   Phone No. of Applicant: ____________________________   Signature of Applicant _____________________________________   _______________________________________________ Approved   * This permit is valid only for the above date.

 

(Prior Code, Ch. 104)