New Submission

Contractor PKfield type single line
Input blocked. Maximum character limit of 4000 characters reached.
Are you a SMSC Registered Contractor?*field type radio button
Are you a SMSC Registered Contractor?YesNo
Click HERE to apply to be a Registered Contractor

Contractor ID Number*field type single line
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Contractor Company*field type single line
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License #*field type single line
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Contractor First Name*field type single line
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Contractor Last Name*field type single line
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Contractor Phone Number*field type single line
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Contractor Email*field type email
House Number*field type single line
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Street Name*field type single line
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City*field type single line
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Name of Owner*field type single line
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Applicant Name*field type single line
Enter your FIRST and LAST name.
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Applicant E-Mail*field type email
Applicant Phone Number*field type single line
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Description of Plumbing Work

Is this a Stand-Alone Permit?*field type radio button
Is this a Stand-Alone Permit?YesNo
Building Permit #*field type single line
Input blocked. Maximum character limit of 4000 characters reached.
Type of Work*field type radio button
Type of WorkNewReplacementRepairOther
Sewer Connectionfield type single line
Input blocked. Maximum character limit of 4000 characters reached.
Water Connectionfield type single line
Input blocked. Maximum character limit of 4000 characters reached.
Meterfield type single line
Input blocked. Maximum character limit of 4000 characters reached.
Plumbingfield type single line
Input blocked. Maximum character limit of 4000 characters reached.
Otherfield type single line
Input blocked. Maximum character limit of 4000 characters reached.
Number of Sprinkler Headsfield type number

Number, Kind, and Locations of Fixtures

	Basementfield type drop-down	1st Storyfield type drop-down	2nd Storyfield type drop-down	3rd Storyfield type drop-down
Water Closets	Basementfield type drop-down	1st Storyfield type drop-down	2nd Storyfield type drop-down	3rd Storyfield type drop-down
Shower	Basementfield type drop-down	1st Storyfield type drop-down	2nd Storyfield type drop-down	3rd Storyfield type drop-down
Bath Tubs	Basementfield type drop-down	1st Storyfield type drop-down	2nd Storyfield type drop-down	3rd Storyfield type drop-down
Basins	Basementfield type drop-down	1st Storyfield type drop-down	2nd Storyfield type drop-down	3rd Storyfield type drop-down
Sinks	Basementfield type drop-down	1st Storyfield type drop-down	2nd Storyfield type drop-down	3rd Storyfield type drop-down
Wash Trays	Basementfield type drop-down	1st Storyfield type drop-down	2nd Storyfield type drop-down	3rd Storyfield type drop-down
Floor Drains	Basementfield type drop-down	1st Storyfield type drop-down	2nd Storyfield type drop-down	3rd Storyfield type drop-down
Water Heater	Basementfield type drop-down	1st Storyfield type drop-down	2nd Storyfield type drop-down	3rd Storyfield type drop-down
Dish Washer	Basementfield type drop-down	1st Storyfield type drop-down	2nd Storyfield type drop-down	3rd Storyfield type drop-down
Disposal	Basementfield type drop-down	1st Storyfield type drop-down	2nd Storyfield type drop-down	3rd Storyfield type drop-down
Water Softener	Basementfield type drop-down	1st Storyfield type drop-down	2nd Storyfield type drop-down	3rd Storyfield type drop-down
Urinals	Basementfield type drop-down	1st Storyfield type drop-down	2nd Storyfield type drop-down	3rd Storyfield type drop-down
Gas Outlets	Basementfield type drop-down	1st Storyfield type drop-down	2nd Storyfield type drop-down	3rd Storyfield type drop-down
Other Fixtures	Basementfield type drop-down	1st Storyfield type drop-down	2nd Storyfield type drop-down	3rd Storyfield type drop-down
Drinking Fountains	Basementfield type drop-down	1st Storyfield type drop-down	2nd Storyfield type drop-down	3rd Storyfield type drop-down

Dig and Locate all Sewer and Water Connections Before Digging Ditch to House

RPZ Valve Requiredfield type drop-down
RPZ Valve Typefield type single line
Input blocked. Maximum character limit of 4000 characters reached.
Water Meter Requiredfield type drop-down
Water Location at Curbfield type single line
Input blocked. Maximum character limit of 4000 characters reached.
Sewer Location at Curbfield type single line
Input blocked. Maximum character limit of 4000 characters reached.

For Office Use Only

Plumbingfield type currency
$
Otherfield type currency
$
Total(?)field type currency
$

Signature of Licensee*field type checkbox
Permission is hereby granted to the above licensee to perform the following work in strict accordance with all Tribal Codes. I understand that checking this box constitutes a legal signature confirming that I acknowledge, agree to, and shall be bound by the terms and conditions stated herein.
Signature of LicenseeI Understand
Make an appointment for Inspection no less than four working hours before inspection is desired. Inspection Hours: Monday-Friday 9:00 A.M. to 4:00 P.M.
Please provide all plans and other supporting documents in digital form by uploading here. For more information and resource documents, please visit https://shakopeedakota.org/land/green-construction-resources/
File Attachments
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