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2. Project Name*
3. Identifying Name
5. Project Address*
6. City*
8. Gate Code
9. Lock Code
10. Maricopa County Environmental Services Number*
12. Contact Name*
13. Phone Number*
15. Email*
16. Fax Number
18. Contractor*
20. Type of Facility*

    1. Pool
    2. Spa

    1. Wading
    2. Splash Pad

    1. Special Use
22. Type of Construction Inspection*

    1. Rough Plumbing Inspection
    2. Rough Plumbing Re-Inspection

    1. Pre-plaster Inspection
    2. Pre-plaster Re-Inspection

    1. Final Inspection
    2. Final Re-inspection
24. Upload Notarized Construction Certification Letter
    Notarized Construction Certification Letter must be received via fax or email before Final Inspections are conducted. Please be aware that the letter uploaded has to be a document in PDF format. Please be aware that the letter uploaded has to be a document in PDF format.
26. Type of Project*

    1. New Pool
    2. Deck

    1. Resurface
    2. Circulation

    1. Disinfection
    2. Fence
28. Comments
Leave This Blank:


30. 1. Receive an email copy of this form.
31. Email address

    This field is not part of the form submission.

32. Submit

* indicates a required field