Associated
Building Permit #:
FUEL GAS PERMIT APPLICATION
City of Newport News
Department of Codes Compliance
2400 Washington Avenue 3
rd
floor, Newport News, Virginia 23607
757-933-2311/757-926-8311 (fax) /codesclerical@nnva.gov
www.nnva.gov/codes-compliance
Applicant (Check One) Owner Contractor Agent Design Professional
Contractor State License #
Email/Other Contact Information
Work to be performed on: Type of work: I agree to perform the proposed work in conformance with the Virginia Uniform Statewide Building Code and the ordinances and
regulations of the City of Newport News.
Residential New Repair/Alt
Print name_________________________________________Signature________________________________Date________________
Commercial Addition Other
Multi-Family Project Cost $___________________ Remarks_____________________________________________________________________________________________________
__________________________________________________________________________________________________________________________
QUANTITY & TYPE OF DEVICES/EQUIPMENT
FUEL GAS STORAGE AND DISTRIBUTION
Underground Piping to Building
_________________________________________________________________________________________________________________________________________________________________________________________
Office Use Only
This application may be printed blank or filled in online and then printed.