Associated
Building Permit #:
PLUMBING 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 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
M
ulti-Family Project Cost $___________________ Remarks_____________________________________________________________________________________________________
__________________________________________________________________________________________________________________________
QUANTITY & TYPE OF FIXTURES
Medical Gas Piping System
Water Distribution System
Backflow Prevention Device
__________________________________________________________________________________________________________________________________________________________________________________________
Office Use Only
This application may be printed blank or
filled in online and then printed.