Customer portal

Installation request Water

Installer

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Clerk

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Phone Number

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Recipient

First Name

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Last Name

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Street

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House Number

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Post code/city

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Owner

Company

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First Name

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Last Name

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Street

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House Number

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Post code/city

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Object

Street

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House Number

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Post code/city

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Floor, Location

Please enter a floor location

Civil Parish

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Parcel No.

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Installation

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Building Type

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Load Values

Existing (LU)

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New (LU)

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Total (LU)

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Total (l/s)

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Device Types

Device 1

Special Devices (Osmosis, special kitchen device etc.)

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Make, Size, Type

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Location

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SVGW Approval Number

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Connected Value (l/s)

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Emergency Cooling Systems

Please Enter Emergency Cooling Systems

Location

Please Enter Location

Approval Existing

Yes

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Performance (l/s)

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Water Softener System

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Location

Please Enter Location

Maintenance contract according to SVGW leaflet W10027 available?

Yes

Performance (l/s)

Please Enter Performance

Total (l/s)

Please Enter Total

A system separator requires a special permit, including a maintenance contract, is this available?

Yes

Start of installation work

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Meter installation can be done on

Please Enter Meter installation Date

Estimated completion

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Attachment

Scheme

Floor plans

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Drag & drop to upload document Upload your papers and documents here Upload Document

I hereby declare that all the information I have provided is complete and correct.

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Contact

Installation request Water

Installer

Recipient

Owner

Object

Load Values

Device Types

Device 1

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