PROJECT ADDRESS: __________________________________________ Date: _______________________
Approved By
TRADE PERMIT
Water Service
Describe:
Building
Sewer
Storm Sewer
Water Heater
Fixtures
Stacks
Gas Pi
ping Outlets
Items not classified above
FLAT FEE —>
$75
Contractor: _____________________________ Phone: _______________________ State Lic. No. ________________________
Address: _________________________City/State/Zip: ________________________ State Lic. No. ________________________
Commercial Residential Contractor E-mail Address:______________________________________________
Building/Home Owner Name: ____________________________________________ Phone: ____________________________
310 Mill Street, PO Box 160, Van Meter, IA 50261 | Phone: (515) 996-2644
Furnace
Describe:
A/C or Refr
ig Units
Boiler
Water Heater
Hoods,
Type I Type II
Fire
D
am
pers
Gas Pipe Openings
Items not classified above
FLAT FEE —>
$75
Owner/Applicant
X________________________________ Date:______________ X_____________________________ Date: ______________
Questions concerning scheduling, inspection requirements and this application should be
directed to Veenstra & Kimm at (515) 850-2980 or email Jvan@v-k.net.
24 hrs notice is required for scheduling inspections.
TOTAL $
PLUMBING
MECHANICAL
The City of Van Meter requires building permits for building erection, construction, enlargement, alteration, repair, moving, removal, conversion, demo-
lition, as well as for mechanical, and all plumbing work. This would include most remodeling projects – as well as new construction.
Visit www.vanmeteria.gov obtain a building permit application form – the application is filed at City Hall. Upon approval of permit, the applicant will be
notified of the appropriate fee based upon the type of construction, size and other variables.
Send permit applications to: info@vanmeteria.gov
www.vanmeteria.gov
Meter Boxes
Describe:
Circuits
Open
ings/Devices
Fixed Appliances
Standby Generator
FLAT FEE —>
$75
Temp Pole
ELECTRICAL
NOT FLAT RATED
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