Cover Ready Form

Builder

Job Name

Job Address

City

State/Province

Zip/Postal

**Builder is responsible for notifying Pool Cover Solutions-SE of any date changes 48 hours prior to dates listed below**

Date the pool will be plastered and filled with water to at least the waterline tile?

Notes

Date there will be a 4" drain run to open air?

Notes

Is there power to the pool equipment panel / breaker panel?

Yes

No

All accessories (water features) wired in, programmed with panel and operational?

Yes

No

Date the following electrical wiring requirements will be completed from our 5x7 Enclosure box terminating in 1/2 inch fittings on both ends:

Date

Notes for 18/5 to the Switch from 5x7 box

Notes for 12/4 to the Motor from 5x7 box

Notes for 18/5 to the Motor from 5x7 box

Notes for 12/3 to the dedicated 20 amp GFCI Breaker from 5x7 box

Pictures

Required upload size: 52.43MB

Please list any special instructions that our staff might need to know:

(Gate codes, commercial entry points, construction hours, specified parking, etc.)

I acknowledge that the items listed above will be completed by the date stated above in order for Pool Cover Solutions SE to complete their work as scheduled.
I understand if any of the above items are not ready as stated, PCS-SE will not be able to complete their work and the job will be rescheduled accordingly.
I agree to pay a Return Trip Fee of $500 for the day, before the work will be rescheduled.

Print Name

Sign

Date