DUMPSTER PERMIT APPLICATION
VILLAGE OF PONTOON BEACH
Pontoon Beach, Illinois
| Date: ________________ | |
| Contractor's/Home Owner's Name: | |
| Address: | |
| Phone: | Cell Phone: |
| Address of Dumpster Location: | |
| Name of Hauling Company: | |
| Address of Hauling Company: | |
| Phone: ________________ | |
| Will Dumpster be located on Private Property at site of Construction or Demolition? | |
| □ Yes □ No | |
| Dumpster permits shall have a term of 14 days renewable in 10-day increments approved by the Building Department. | |
| **After work is completed each day, the dumpster shall be covered with a mechanism such as a tarp, to help ensure public safety during non-working hours.** | |
| Applicant's Signature: | Date: |
| For office use only | |
| Date Issued: | Renewal Date: |
____________
DUMPSTER PERMIT APPLICATION
VILLAGE OF PONTOON BEACH
Pontoon Beach, Illinois
| Date: ________________ | |
| Contractor's/Home Owner's Name: | |
| Address: | |
| Phone: | Cell Phone: |
| Address of Dumpster Location: | |
| Name of Hauling Company: | |
| Address of Hauling Company: | |
| Phone: ________________ | |
| Will Dumpster be located on Private Property at site of Construction or Demolition? | |
| □ Yes □ No | |
| Dumpster permits shall have a term of 14 days renewable in 10-day increments approved by the Building Department. | |
| **After work is completed each day, the dumpster shall be covered with a mechanism such as a tarp, to help ensure public safety during non-working hours.** | |
| Applicant's Signature: | Date: |
| For office use only | |
| Date Issued: | Renewal Date: |
____________
