PLUMBING ASSESSMENT CUSTOMER NAME INSTALL DATE … · end. water supply type. well. cistern....
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END WATER SUPPLY TYPE WELL CISTERN COMMUNITY MUNICIPAL RECOVERY LOW ADEQUATE UNKNOWN WATER PUMP TYPE JET POWER PRESSURE TANK CAPTIVE AIR GALVANIZED WATERLOGGED NO YES PRESSURE LOW________________PSI HIGH________________PSI SUPPLY PIPING ¾” 1" 1 ¼” OTHER________ WELL LINE COPPER PVC GALVANIZED CPVC Shut – Off Valve YES NO ADDITIONAL PIPING ADDITIONAL COST ESTIMATED AT SILCOCKS HOW MANY? $ YES NO BYPASSING COPPER CPVC PVC PEX OTHER SHUT-OFF VALVE YES NO INSTALL AREA BASEMENT WELL PIT 1" FLOOR UTILITY ROOM CRAWL SPACE GARAGE HEATED UNHEATED OPEN CRAMPED LIGHTED POOR LIGHT NO LIGHT DRAINAGE NONE FLOOR DRAIN SUMP PUMP _____________ DISTANCE FEET DUPLEX LIGHT PANEL YES NO ELECTRIC POWER NO GRAVITY OVERFLOW? YES CUSTOMER AWARE YES NO DISTANCE ____________ FEET PLUMBING ASSESSMENT CUSTOMER NAME ______________________ INSTALL DATE ______________________
Transcript of PLUMBING ASSESSMENT CUSTOMER NAME INSTALL DATE … · end. water supply type. well. cistern....
END
WATER SUPPLY
TYPE
WELL
CISTERN
COMMUNITY
MUNICIPAL
RECOVERY
LOW
ADEQUATE
UNKNOWN
WATER PUMP
TYPE
JET
POWER
PRESSURETANK
CAPTIVE AIR
GALVANIZED
WATERLOGGED
NO
YES
PRESSURELOW________________PSI
HIGH________________PSI
SUPPLY PIPING
¾”
1"
1 ¼”
OTHER________
WELL LINE
COPPER
PVC
GALVANIZED
CPVCShut – Off
Valve
YES
NO
ADDITIONALPIPING
ADDITIONAL COSTESTIMATED AT
SILCOCKSHOW MANY?
$
YES
NO
BYPASSING
COPPER
CPVC
PVC
PEX
OTHERSHUT-OFF
VALVE
YES
NO
INSTALLAREA
BASEMENT
WELL PIT
1" FLOOR UTILITY ROOM
CRAWL SPACE
GARAGE
HEATED
UNHEATED
OPEN
CRAMPED
LIGHTED
POOR LIGHT
NO LIGHT
DRAINAGE
NONE
FLOOR DRAIN
SUMP PUMP
_____________
DISTANCE
FEET
DUPLEX
LIGHT
PANEL
YES
NO
ELECTRICPOWER
NO
GRAVITYOVERFLOW?
YESCUSTOMER AWARE
YES NO
DISTANCE
____________ FEET
PLUMBING ASSESSMENTCUSTOMER NAME ______________________ INSTALL DATE ______________________
Kelly
Typewritten Text
SUB
Kelly
Typewritten Text
110v
Kelly
Typewritten Text
Kelly
Typewritten Text
220v
