Phoenix, AZ · Maricopa County
Backflow Installation Permit Application
Phoenix property owners or contractors use this application to request a permit for installing a backflow device at a project address.
What this form is
This application is for a backflow device installation, including new or retrofit work for a domestic water, irrigation, or fire suppression system. It asks for project details, device type, owner and contractor information, and the applicant’s signature. The form does not state when the city requires it or list supporting attachments.
Who needs it
A property owner or contractor applying for a Phoenix permit to install a backflow device can complete this application.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This application is signed without a notary; the applicant just signs and dates it, and the form does not identify a notarized attachment.
How to submit this form
- 1
Download The Application
Download the Backflow Installation Permit Application PDF.
- 2
Complete The Project Details
Enter the project address, work description, backflow device type, and applicable system information.
- 3
Complete And Sign Applicant Details
Provide the owner and contractor information requested, select the applicant type, and sign and date the application.
- 4
Submit To The City
Submit the application to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What is the Backflow Installation Permit Application for?
- It provides project, device, owner, and contractor details for a permit application to install a backflow device.
- Who completes the application?
- The form has an applicant section with checkboxes for owner, contractor, or other, along with fields for contact and business details.
- Do I need a notary for the Backflow Installation Permit Application?
- No. The application is signed without a notary; the applicant just signs and dates it, and the form does not identify a notarized attachment.
- How do I submit the application?
- Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Backflow Installation Permit Application doesn’t need a notary — but if you have another Phoenix form that does, a commissioned online notary can help.