Permit Application

Project Information

Date

Project Name

Project Address

Street Address Suite # City State ZIP Code

Project Contact Name

Project Contact Phone

Project Contact Email

Bill Permit Fee to:*

Contractor Information

Contractor Name

Contractor Address

Street Address City State ZIP Code

Contact Phone

Contractor Contact Name

Contact Email

Contractor ROC#

Work Being Performed

Construction Project Type

Total Square Footage

Project Estimate Value ($)

Fire Sprinkler

Head Count

Fire Alarm

Device Count

Commercial Hood System

Flow Test

CO2 Systems

New CO2 System

Brief Description of Proposed Work

Describe

Consent*

I hereby certify that I am the owner or duly authorized owner’s agent, that I have read this application and that all information is correct. To keep permit active and avoid unnecessary expirations, it is important that you call for inspections at 623-974-2321. Note: The permit becomes null and void if the construction work has not commenced within 180 days from the date of issue or, if any time prior to the final inspection and approval, the work is suspended or abandoned for a period of 180 days.

Name

Project Information

Contractor Information

Work Being Performed

Brief Description of Proposed Work

TEL: (623) 974-2321