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Click ‘Get Form’ to open the work completion form in the editor.
Begin by filling out the 'Permit Information' section. Enter your registration number, property address, phone number, county, and permit number accurately.
In the 'Job Status' section, indicate whether the installation is for new construction or alteration. Provide the date you completed this portion of work and briefly list all completed tasks such as drilling a well or installing a pump.
Proceed to the 'Completion Form' section. Document specific materials used, including details about pitless adapters or units, casing types, and methods of attachment.
Fill in information regarding pumps and pressure tanks, ensuring to specify depths and types accurately. Don't forget to include service connections and backflow protection devices installed.
Review all entries for accuracy before submitting your completed form via email or fax to your local health district within the required timeframes.
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We've got more versions of the work completion form form. Select the right work completion form version from the list and start editing it straight away!
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The purpose of this certificate is to allow use of area(s) or building(s) that are complete ahead of the complete scope of the Project and to allow warranties
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