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BACKFLOW DEVICE PERMIT Property Owner: Phone: Resident(if different from Owner): Address of Installation: Location: Horizontal/Vertical: Make/Model: Hazard: High Medium Low Estimated Cost of Job:
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How to fill out backflow device permit

How to fill out backflow device permit
01
To fill out a backflow device permit, follow these steps:
02
Begin by entering the name of the property owner or tenant.
03
Provide the address of the property where the backflow device will be installed.
04
Specify the type of backflow device being installed (e.g., Reduced Pressure Principle Assembly, Double Check Valve Assembly, etc.).
05
Include the manufacturer and model number of the backflow device.
06
Indicate the size of the backflow device (e.g., 3/4 inch, 1 inch, etc.).
07
Provide the name and contact information of the licensed plumber who will be installing the backflow device.
08
Include any additional details or requirements as stated by the local regulatory authorities.
09
Sign and date the permit form to confirm that all information provided is accurate.
10
Submit the completed permit form to the relevant government department or agency responsible for issuing backflow device permits.
Who needs backflow device permit?
01
Anyone who is planning to install a backflow device on their property needs a backflow device permit.
02
This includes property owners, tenants, and licensed plumbers who will be installing the device.
03
The permit is required to ensure compliance with local regulations and to ensure the proper installation and maintenance of backflow devices.
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What is backflow device permit?
A backflow device permit is a document issued by a local government agency that authorizes the installation and use of a backflow prevention device to protect the water supply from contamination.
Who is required to file backflow device permit?
Any property owner or business that has a backflow prevention device installed on their property is required to file a backflow device permit.
How to fill out backflow device permit?
To fill out a backflow device permit, the applicant must provide information about the property, the type of backflow prevention device installed, and contact information for the property owner or responsible party.
What is the purpose of backflow device permit?
The purpose of a backflow device permit is to ensure that backflow prevention devices are properly installed and maintained to protect the water supply from contamination.
What information must be reported on backflow device permit?
The information required on a backflow device permit includes the property address, the type of backflow prevention device installed, the name of the property owner or responsible party, and contact information.
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