SOLDER AND ANTI-SCALD CERTIFICATION Date: Building Permit - westhamptonbeach 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the date in the designated field at the top of the form.
3. Fill in the Building Permit number in the provided space labeled 'Building Permit #'.
4. Complete the Owner section with your name and contact information.
5. In the Plumber section, enter the plumber's name and details as required.
6. Review and confirm that the solder used meets New York State regulations by checking the appropriate box.
7. Sign in the designated area for either the plumber or homeowner, ensuring to indicate your status by checking one of the options provided.
8. Finally, have a Notary Public witness your signature on the specified date.

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