City of Peoria
Sustainability & Water Conservation
Pool/Spa Removal Rebate
Limit one per water account
Water Billing Account Number (XXXXX-X)
*
Name on Utility Account
*
First Name
Last Name
Address
*
Street Address
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Date of Pool/Spa Removal
*
-
Month
-
Day
Year
Date
Estimated Square Footage of Pool/Spa Area
*
Did you complete the Demolition or Abandoned Pool Requirements, which requires multiple steps such as City Building Official approval, permits, and inspections?:
*
Yes
No
Please provide the Building permit number:
*
Have you previously participated in a City of Peoria Sustainability & Water Conservation Program?
*
Yes
No
How would you describe your current level of familiarity with water conservation practices?
*
Extremely Familiar
Moderately Familiar
Somewhat Familiar
Slightly Familiar
Not At All Familiar
How did you first hear about this program?
*
Please Select
Bill Insert (PeoriaNOW)
City Building (Library, etc.)
City Employee
City Event
City Mail (Sustain & Gain, etc.)
City Website
New Customer Email
Email/Newsletter
Family/Friends/Neighbor
HOA/Community Org
Internet Search
Landscaper/Contractor
News Outlet
Peoria School
Social Media
Store/Business
Choose the option that fits best.
SUBMIT REQUIRED DOCUMENTATION: (#1) Pictures of the area which shows the pool/spa before its removal. (#2) Pictures of the area which shows the pool/spa after it was removed. (#3) Dated receipts for the project such as for backfill approved by the City Building Official. (#4) All documentation from the Demolition or Abandoned Pool Requirements such as City Building Official approval and permits.
*
Browse Files
Drag and drop files here
Choose a file
Artificial turf and water-intensive features are ineligible for the rebate and may not be installed in the pool/spa removal area.
Cancel
of
I have read and understand the program description, including the Demolition or Abandoned Pool Requirements. As part of the rebate process, I agree to allow a pre- and/or post-inspection during normal business hours.
*
PLEDGE TO SAVE WATER
Submit
Should be Empty: