Mount Airy, NC · Surry County

No notary required

Backflow Preventer Installation

Commercial and industrial property owners and installers use this form to provide information about a backflow preventer installation in Mount Airy.

What this form is

This form collects information for commercial and industrial backflow preventer installations in Mount Airy. The owner or contact person provides the service address, project details, and contact information; the installer provides company, license, and water service details. The form also includes sections for City of Mount Airy approval and backflow preventer information.

Who needs it

Commercial and industrial property owners or contacts and installers completing a backflow preventer installation in Mount Airy use this form.

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 document is signed without a notary; the requester and installer provide signatures, and no notarized attachment or sworn step is listed.

How to submit this form

  1. 1

    Download The Form

    Download the Backflow Preventer Installation form for commercial and industrial work.

  2. 2

    Complete The Form

    Provide the requested owner, project, installer, license, and water service information.

  3. 3

    Review Signatures

    Have the requester and installer complete their signature fields; the form does not list a notarized attachment.

  4. 4

    Submit To The City

    Submit the completed form to the city department named on it; check the city website for current contact details.

Frequently asked questions

Do I need a notary for the Backflow Preventer Installation form?
No. This form is signed without a notary; the requester and installer provide signatures, and no notarized attachment or sworn step is listed.
Who uses the Backflow Preventer Installation form?
Commercial and industrial property owners or contacts and installers use the form to provide information about a backflow preventer installation.
What information does the form request?
It asks for owner and service address details, project and occupancy type, installer company and license information, water service type, and backflow preventer information.
How do I submit the Backflow Preventer Installation form?
Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Backflow Preventer Installation doesn’t need a notary — but if you have another Mount Airy form that does, a commissioned online notary can help.