GOVERNMENT OF THE UNITED STATES VIRGIN ISLANDS
GOVERNMENT OF THE UNITED STATES VIRGIN ISLANDS DEPARTMENT OF PLANNING AND NATURAL RESOURCES DIVISION OF PERMITS STX DISTRICT TEL: (340) 773-1082 STT/STJ DISTRICT TEL: (340) 774-3320 APPLICATION for PLUMBING PERMIT (Please Print Clearly) Parcel Identification Number (PIN) Class of Work Owner of building: ☐New ☐ Alteration Owner mailing address: ☐Addition ☐ Repair Use of Building Plot No. Estate Quarter ☐Private or Rental Dwelling ☐ Store/Warehouse House No. Street ☐Restaurant ☐ Bar (If Applicable) Office ☐Other General statement of the proposed work: -------------------------------------------------------------------------------------------------------------------- Description of the proposed work and information related thereto: 1. No. of bedrooms ; bathrooms 2. No. of plumbing fixtures (existing plus new): Kitchen sinks Toilets Lavatories Urinals Bathtubs Showers Other (specify) 3. Will waste be discharged to the city sewer? Yes No, if yes. A sewer connection ☐ Exists Is requested ☐ 4. Septic tank for this installation: Exists ☐ New ☐ 5. Septic tank inside dimensions: ft. …
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GOVERNMENT OF THE UNITED STATES VIRGIN ISLANDS DEPARTMENT OF PLANNING AND NATURAL RESOURCES DIVISION OF PERMITS STX DISTRICT TEL: (340) 773-1082 STT/STJ DISTRICT TEL: (340) 774-3320 APPLICATION for PLUMBING PERMIT (Please Print Clearly) Parcel Identification Number (PIN) Class of Work Owner of building: ☐New ☐ Alteration Owner mailing address: ☐Addition ☐ Repair Use of Building Plot No. Estate Quarter ☐Private or Rental Dwelling ☐ Store/Warehouse House No. Street ☐Restaurant ☐ Bar (If Applicable) Office ☐Other General statement of the proposed work: -------------------------------------------------------------------------------------------------------------------- Description of the proposed work and information related thereto: 1. No. of bedrooms ; bathrooms 2. No. of plumbing fixtures (existing plus new): Kitchen sinks Toilets Lavatories Urinals Bathtubs Showers Other (specify) 3. Will waste be discharged to the city sewer? Yes No, if yes. A sewer connection ☐ Exists Is requested ☐ 4. Septic tank for this installation: Exists ☐ New ☐ 5. Septic tank inside dimensions: ft. long x ft. wide x ft. high (to overflow) x 7.5= gal. 6. Capacity of seepage tank: gallons; or area of absorption field: sq. ft. 7. Will installation use portable water? ☐Yes ☐ No. If yes, what is the size of the pipe connection or to be connected to the city main? 8. Will installation use salt water? ☐ Yes ☐ No. If yes, what is the size of the pipe connected to the city main? inch. Connection: ☐ Exists ☐ Is requested Will the proposed work encroach on public rights-of-way or on the property of others? Total estimated cost of the proposed work: $ Has work been started? Plumber who will do this work: License No.: Signature of applicant: Date signed: Phone No.: Note: Permit will be issued in the licensed plumber’s name, who is authorized to do the work on behalf of the owner. Seal and Signature of USVI Licensed Plumber ☐ Location of Work