Application For Building Permit Form - City Of Walker Page 4
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4SWIMMING POOL, SPAS AND HOT TUBS
APPENDIX G/SECTION AG105
BARRIER REQUIREMENTS
RESPONSIBILITY FORM
CONTRACTOR:
I AS THE CONTRACTOR HAVE READ AND AGREE TO INSTALL THE
BARRIER REQUIREMENTS FROM APPENDIX G SECTION AG105 FROM
THE MRC 2003 FOR THE FOLLOWING ADDRESS:
_________________________________
SIGNATURE:___________________________
DATE:_____________________
HOMEOWNER:
I AS THE HOMEOWNER HAVE READ AND AGREE TO INSTALL THE
BARRIER REQUIREMENTS FROM APPENDIX G SECTION AG105 FROM
THE MRC 2003 FOR THE FOLLOWING ADDRESS:
_________________________________
SIGNATURE:___________________________
DATE:_____________________
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