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Welcome to the City of Selma, CA, Action Line
Today is Sunday, June 1, 2025.
Pool Registration

Purpose. use this form to request Pool Permit.

* Information is required.

Contact Information

* First Name:
* Last Name:
Business Name:
* Email:
* Daytime Phone: ()  –
Fax: ()  –
* Address:
* City:
* State:
* ZIP:

* Type of Pool

 
* Size of pool
 
* Capacity
 
* Method of Filling:

 
Meter Reading
 
Date of Fill: MM/DD/YYY
 
Date of Refill: MM/DD/YYYY
 
* Form completed by:
 
Are you in City Limits?
Use this form to verify your address.
 
* Do you have a security fence?
 
Attach a Picture or File (max size: 30MB):
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Check here to have email confirmation of this submission.

* Information is required.

Notes:

If you send us a message, you will receive a Tracking Number allowing you to follow-up with your request, at your convenience.

Internal Use Only, Leave Blank:
Please leave this field blank and remove any values that have been populated for it.

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