Water Meter Installation Report

Water Meter Installation Report
Commercial  Industrial Multi-Family (CIM)
Const
Water Meter Installation Report
**A water meter must be installed and a plumbing inspection completed before using any water**
Contractor Name: ______________________________
Contact Person:_________________________
Phone: ___________________ Mobile: ________________Meter Install MM/DD/YY:___________________
Site Address: _______________________________________________________________
 Construction Type:  Commercial
 Industrial  Multi-Family  Bare Land Strata
DomesticWater
WaterMeter
Use Details
Meter Details:
Domestic
1.  Positive Displacement, indicate meter size   3/4”  1”  1 ½”  2”
 Omni C2, indicate meter size   1 ½”  2”  3”
 4”  6”
 8”
2. Is there a by-pass?  No  Yes  If yes, is by-pass valve closed and sealed?  Yes  No
3. Manufacturer/Brand:  Sensus  Neptune  Elster
4. Body Serial No: ____________________________________ Model: ________________________
5. Meter is located:  At property line  In building
6. Describe location:(eg SE corner of Bldg, Mechanical Room in parkade)________________________________
7. Electronic Register Serial No.: *A*_____________________________ Read:________________
8. Vault size for property line install: _________________ Vault access:  Manhole  Hinged cover
9. Touch pad is located on/at: _______________________________________
10. Remote wiring is connected:  Yes  No
Receptacle is mounted:
 Yes  No
Fire Line
LineWater
WaterUse
Use
Double
Check
Detector
Assembly
(
Fire
Double
Check
Detector
Assembly
(DCDA):
1.  Positive displacement
 DCDA bypass
2. Indicate by-pass meter size:  3/4”  1”  1 ½”  2”  3”
3. Manufacturer/Brand:  Sensus
 4”
 6”
 8”
 Neptune  Elster
4. Body Serial No: ____________________________________ Model: ________________________
5. Meter is located:  At property line  In building
6. Describe location: (eg SE corner of Bldg, Mechanical Room in parkade)_______________________________
7. Electronic Register Serial No.: *A*_____________________________ Read:________________
8. Vault size for property line install: _________________ Vault access:  Manhole  Hinged cover
9. Touch pad is located: _______________________________________
10. Remote wiring is connected:  Yes  No
Receptacle is mounted:
 Yes  No
Form completed by (print name):________________________ Date:_______________________
Plumbing Inspector’s Approval of Water Meter Installation (for office use only)
Meter operational?
 Yes
 No
Register no. from probe: DOMESTIC: *A* _________________________
Register no. from probe: DCDA: A______________________________
Domestic:______________
Meter reading at inspection:
Confirmed meter location?
DCDA:
Inspected by:
 Yes
_______________
Inspection date:
Copy of the approved form must be forwarded to the Property and Payment Services Section  Completed
SURREY WATER METER
Surrey’s Water Meter Design Criteria Manual and Supplementary Specification can be found
online at www.surrey.ca/meterdesigncriteria
Water Meter Sample
Meter Register
Scada wire (white)
Touchpad wire (black)
Test Port
To book a plumbing inspection, please call (604) 591-4245.
INSPECTION CHECKLIST
A new water meter MUST:



have the touchpad wire (black) connected to the touchpad,
be mounted to a meter lid or wall, and
function when reading probe is contacted with the touchpad(s)
This property has met the above conditions.
_______________________
Signed by Plumbing Inspector
Copy of the approved form must be forwarded to the Property and Payment Services Section
 Completed
K:\TAX\Utilities\Metered_WaterSewer\Utility Forms and Templates\Commercial ICI Updated April 3 2017.docx
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