Fillable Submission Requirements for a Construction Permit Waiver Request (Island Health)

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Submission Requirements for a Construction Permit Waiver Request (Island Health)

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Policy 3.5, Appendix B
Submission Requirements for a Construction Permit Waiver Request
NOTE: These submission requirements are for existing water supply systems with a valid operating
permit in the name of the current owner. New water systems and existing water systems without a
valid operating permit should refer to Submission requirements for New Water Systems.
Water System:
Submission Date:
Included Comments
Construction Permit Waiver Request Form
Detailed site map
Explanation of proposed construction
Schematic of proposed construction
Manufacturers Information and
Specifications (for all proposed equipment )
Chemical water analysis
Bacterial water analysis
Additional documents (specify in comments)
Applicant Name:
Contact Number:
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Submission Requirements for a Construction Permit Waiver Request (Island Health)

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Completed 25 November 2020

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