By submitting this survey you certify under penalty of law, that the following information is, to the best of your knowledge and belief, true, accurate, and complete.

1

Contact Information

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Contact Information

Water Service Address:

Phone Numberext.

Contact Name

2

Does the property have auxiliary water such as Wenatchee Reclamation Irrigation Water or a private well?

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Does the property have auxiliary water such as Wenatchee Reclamation Irrigation Water or a private well?

Yes

No

3

Does the property have an underground lawn sprinkler system?

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Does the property have an underground lawn sprinkler system?

Yes

No

4

Does the property have a sprinkler system using both City and Reclamation water?

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Does the property have a sprinkler system using both City and Reclamation water?

Yes

No

5

Does the property have a swimming pool or hot tub with an automatic water fill?

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Does the property have a swimming pool or hot tub with an automatic water fill?

Yes - swimming pool

Yes - hot tub

Yes - swimming pool and hot tub

No

6

For any questions with a "yes" answer - is that plumbing connection protected with a backflow assembly?  Please list in the comment section below.

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For any questions with a "yes" answer - is that plumbing connection protected with a backflow assembly? Please list in the comment section below.

N/A - All answers above were no

Yes - all plumbing connections are protected

No - all plumbing connections are not protected

7

Comments:

Comments:

1. To receive a copy of your submission, please fill out your email address below and submit.
2. Email Address

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