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BACKFLOW PREVENTER REPLACEMENT FORM THIS FORM MUST BE SUBMITTED TO THE CITY WITHIN 14 DAYS FROM IMPLEMENTING CORRECTIVE ACTIONS PLEASE NOTE: BUILDING PERMIT REQUIRED PRIOR TO COMMENCING ANY WORKSTATION

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How to fill out backflow preventer replacement form

01

Gather all necessary information required for the form, including the reason for replacement, the type of backflow preventer being replaced, and any additional details.

02

Fill in your personal information, such as name, address, and contact information.

03

Provide details about the existing backflow preventer, including its make, model, and serial number.

04

Explain the reason for replacement and any relevant details about the installation or maintenance of the new backflow preventer.

05

Submit the completed form to the appropriate department or agency for approval and processing.

Who needs backflow preventer replacement form?

01

Property owners or managers who are replacing a backflow preventer on their premises.

02

Contractors or plumbers hired to install a new backflow preventer on a property.

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What is backflow preventer replacement form?

Backflow preventer replacement form is a document used to report the replacement of a backflow preventer device in a plumbing system.

Who is required to file backflow preventer replacement form?

Any individual or entity responsible for replacing a backflow preventer device in a plumbing system is required to file the backflow preventer replacement form.

How to fill out backflow preventer replacement form?

To fill out the backflow preventer replacement form, you must provide information about the previous backflow preventer device, the new device being installed, and other relevant details regarding the replacement.

What is the purpose of backflow preventer replacement form?

The purpose of the backflow preventer replacement form is to ensure that proper documentation is maintained for the replacement of backflow preventer devices in plumbing systems.

What information must be reported on backflow preventer replacement form?

The backflow preventer replacement form must include details such as the location of the replacement, the reason for replacement, the type of backflow preventer device being installed, and any certifications or permits related to the replacement.

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