Engineer: Site Location: Water is Transmitted From: To: Length: Width: Height: Floor Material: Exterior Material: Structure Ventilation? Floor Elevation (6” Above Finished Grade?) Yes No Yes No Lighting: Heating: Interior Chlorination? Structure Type: Yes No Floor Slope (3”/10’): CONSTRUCTION Number: Pumping Type: Power: Capacity @ TDH (GPM): (FT) Size: Pipes to Pumps Type: Pump Discharge Size: Pipe Type: Piping Common Discharge Size: Pipe Type: Backflow Prevention? Type: Yes No GENERAL COMMENTS: WATER SUPPLY FINISHED WATER STORAGE 1 of 2 Project: Engineer:
Engineer: Site Location: Water is Transmitted From: To: CONSTRUCTION Exterior Structure Length: Width: Height: Floor Material: Material: Ventilation? Yes No Floor Elevation (6” Above Finished Grade?) Yes No Interior Structure Lighting: Heating: Chlorination? Yes No Type: Floor Slope (3”/10’): Pumping Number: Type: Power: Capacity (GPM): @ TDH (FT) Piping Pipes to Pumps Size: Type: Pump Discharge Pipe Size: Type: Common Discharge Pipe Size: Type: Backflow Prevention? Yes No Type: GENERAL COMMENTS: WATER SUPPLY FINISHED WATER STORAGE 1 of 2 Project: Engineer:
EngineeringServicesPermitApplication.docx