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2. Project Information
   CONTRACTORS: Please be advised the City's submittal standards for required documents will be enforced.
4. Please allow 24 to 48 hours for processing.
   You will be notified by email once your permit is ready for payment.
6. Date*
   Date
8. Project Name*
10. Permit #
    Example 15-1021 or 15-1
12. Street Address*
14. Type of Work:*

    Only one type of work may be selected per application submittal. One fee per system installed.

    1. Automatic Extinguishing
    2. Blasting 0 - 1 Day
    3. Blasting 2 - 10 Days
    4. Blasting 11 - 30 Days
    5. Bonfire
    6. Emergency Responder Radio Coverage
    7. Fire Alarm System - New
    8. Fire Alarm System - Renovation
    9. Fire Alarm System Reno-Access Control

    1. Fire Pump
    2. Fireworks
    3. Open Flame
    4. Sprinkler System - New
    5. Sprinkler System - Renovation
    6. Standpipe System
    7. Under / Above Ground Storage Tanks
    8. Underground Piping
16. Brief Description of Job:*
18. Agreement
20. Contractor Company Name*
22. Company Phone*
23. Cell Phone*
25. Agreement*

    By checking the I Agree box on this application,I certify that I am an authorized agent for the company performing the work stated above and that all information provided is true. I further understand that if any information provided is found to be incorrect or falsely stated that this permit will be null and void and that i may be responsible for violation of other related state laws and local ordinances.

    1. I agree
27. Applicant Name*
29. Applicant Email*
31. Attachment
33. Attachment
35. Attachment
Leave This Blank:


37. 1. Receive an email copy of this form.
38. Email address

    This field is not part of the form submission.

39. Submit

* indicates a required field