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Fire Prevention Permit Request
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Fire Prevention Permit Request
You will be contacted to once the information has been processed to arrange for payment of permit fees and issuance of permit.
Organization/Individual Requesting Permit Information
First Name
*
Last Name
*
Business Name (If Applicable)
Business Address
*
City
*
State
*
Zip
*
Phone Number
*
Date of Request
Date of Request
Date of Request
E-Mail Address
Preferred Method of Contact
-- Select One --
Phone
E-Mail
Information for Location of Permit Utilization
Name of Individual/Organization
*
Location for Permit Utilization
City
State
Zip
Type of Permit Requested
Hot Work Operations ($50)
Open Burning ($50)
Temporary Tent/Canopy ($50)
Automatic Fire Extinguishing System/Fire Pump Installation ($100 + $2 per device)*
Fire Alarm/Detection System ($100 + $2 per device)*
Other (Please describe in Additional Comments/Information Section)
Additional Comments/Information
Account Number 5310-435299
* Please List Number of Devices in Comments Section
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