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) REQUESTED BY: DATE: PHONE NO.: OWNER: ____________________________________________ LOCATION OF WORK: BUILDING PERMIT NO.: PLUMBING PERMIT NO.: ____________________ CONTRACTOR: PLUMBER: 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 FINAL PLUMBING INSPECTION CERTIFICATION OF SUPERVISION UPON APPLICATION FOR A CERTIFICATE OF USE AND/OR OCCUPANCY. …
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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 FINAL PLUMBING INSPECTION REQUEST (Please Print Clearly) REQUESTED BY: DATE: PHONE NO.: OWNER: ____________________________________________ LOCATION OF WORK: BUILDING PERMIT NO.: PLUMBING PERMIT NO.: ____________________ CONTRACTOR: PLUMBER: 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 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: Seal and Signature of USVI Licensed Plumber SIGN