ELEVATOR PERMIT APPLICATION
Associated
Building Permit #:
Department of Codes Compliance
2400 Washington Avenue 3
rd
floor, Newport News, Virginia 23607
7
57-933-2311/757-926-8311 (fax) /codesclerical@nnva.gov (email)
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 above work in compliance with the ordinances & regulations of the
City of Newport News and the Virginia Uniform Statewide Building Code.
Residential New Structure Repair/Alt
Print name_________________________________________Signature________________________________Date________________
Commercial Addition Other
Multi-Family Project Cost $___________________ Remarks_____________________________________________________________________________________________________
_________________________________________________________________________________________________________________________________________________________________
QUANTITY & TYPE OF EQUIPMENT
__________________________________________________________________________________________________________________________________________________________________________________________
Office Use Only
This application may be printed blank or
filled in online and then printed.