Underground Sprinkler Permit

Underground Sprinkler Permit
Applicant Name*

First NameLast Name
Company
Applicant Phone #
Please enter a valid phone number.
Applicant Email
example@example.com
Owner's Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Owner Phone #*
Please enter a valid phone number.
Owner Email*
example@example.com
Sprinkler Installer*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Installer Phone Number*
Please enter a valid phone number.
Installer Email*
example@example.com
*Backflow Prevention must be installed by a Licensed Plumber
Plumber*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Plumber Phone #*
Please enter a valid phone number.
Plumber Email*
example@example.com
Type of Backflow Preventer

ANSIASTMFSOther
**MUST PROVIDE A SITE PLAN**

The owner is responsible for contacting North Dakota One Call 1-800-795-0555 or 811, for utility location of underground facilties. The owner assures the sprinkler will not be in the Public Right-of-way or existing easements.
Type of Backflow Prevention*
Include a site plan drawing of the property in which the underground sprinkler will be installed. Include all sidewalks, alleys, and
existing structures on this lot. Please include the dimensions of the sprinkler system and existing structures. This drawing will allow City staff to familiarize themselves with your concept before approving your permit.
Site Plan*

Cancelof
Signature*

Clear
Date*

MonthDayYear
Should be Empty: