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 FINAL PLUMBING INSPECTION REQUEST (Please Print Clearly) DATE: PLUMBING PERMIT NO.: OWNER: BUILDING PERMIT NO.: CONTRACTOR: PLUMBER: LOCATION OF WORK: REQUESTED BY: PHONE NO.: GENERAL DESCRIPTION: NO. OF W.R. NO. OF L.R. NO. OF TUB: NO. OF SHOWER: NO. OF SINKS: OTHER: SIZE OF DRAIN: SIZE OF DRAIN: SIZE OF DRAIN: SIZE OF DRAIN: SIZE OF DRAIN: SIZE OF DRAIN: VENT: CO. VENT: CO. VENT: CO. VENT: CO. VENT: CO. VENT: CO. WATER SUPPLY: ☐ CISTERN CAP ☐ GALS. ☐ PORTABLE WATER ☐ WELL ☐ OTHER SEWAGE DISPOSAL: SEWER CONNECTION (SIZE) IN. OR SEPTIC TANK & CESSPOOL AND/OR DRAIN FIELD DEPARTMENTAL USE ONLY REMARKS: INSPECTED BY: DATE: FINAL PLUMBING INSPECTION CERTIFICATION OF SUPERVISION UPON APPLICATION FOR A CERTIFICATE OF USE AND/OR OCCUPANCY. …
Download the original document · Plain text (TXT) · Browse the archive · How this archive works
Original source: https://dpnr.vi.gov/wp-content/uploads/2022/10/Final-Plumbing-Inspection.pdf
SHA-256 6e71f5f40ca4f0251b72e1fcbd1a00b1ac61485e02cc41c3496c6099e81afcf0
Re-using this document
A public record of the Government of the Virgin Islands, published by the agency itself. No copyright is asserted on it and 17 U.S.C. § 105 does not reach territorial government, so it publishes as a territorial public record.
Our description, tagging, arrangement, extracted text and machine transcripts are released under CC0 1.0. We assert nothing about the document itself.
Archive identifier LF-6e71f5f40ca4
Document text
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 FINAL PLUMBING INSPECTION REQUEST (Please Print Clearly) DATE: PLUMBING PERMIT NO.: OWNER: BUILDING PERMIT NO.: CONTRACTOR: PLUMBER: LOCATION OF WORK: REQUESTED BY: PHONE NO.: GENERAL DESCRIPTION: NO. OF W.R. NO. OF L.R. NO. OF TUB: NO. OF SHOWER: NO. OF SINKS: OTHER: SIZE OF DRAIN: SIZE OF DRAIN: SIZE OF DRAIN: SIZE OF DRAIN: SIZE OF DRAIN: SIZE OF DRAIN: VENT: CO. VENT: CO. VENT: CO. VENT: CO. VENT: CO. VENT: CO. WATER SUPPLY: ☐ CISTERN CAP ☐ GALS. ☐ PORTABLE WATER ☐ WELL ☐ OTHER SEWAGE DISPOSAL: SEWER CONNECTION (SIZE) IN. OR SEPTIC TANK & CESSPOOL AND/OR DRAIN FIELD DEPARTMENTAL USE ONLY REMARKS: INSPECTED BY: DATE: FINAL PLUMBING INSPECTION CERTIFICATION OF SUPERVISION UPON APPLICATION FOR A CERTIFICATE OF USE AND/OR OCCUPANCY. TO: The Commissioner of Planning & Natural Resources (Through the Division of Permits) FROM: Certifying Plumbing Supervisor of construction mentioned below SUBJECT: CERTIFICATION OF SUPERVISION AND TRADE WORKMANSHIP LEGAL DESCRIPTION NAME OF OWNER: LOCATION OF BUILDING: PLUMBING PERMIT NUMBER: DATE ISSUED: I hereby certify that the plumbing work done complies with the work proposed on the Plumbing Permit, as per the latest edition of the Uniform Plumbing Code and V.I. Code Title 29. NAME OF CERTIFYING SUPERVISOR: (Plumber, Master Plumber, Plumbing Contractor) Signature: Date: Certifying Supervisor PLEASE SIGN AND SEAL THIS CERTIFICATION FORM: SIGN