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2. Owner
3. Owner Phone Number
5. Applicant/Contractor
6. Applicant/Contractor Phone Number
7. Applicant E-Mail Address*
   *If preferred method of contact
9. Site Address
10. Owner Address (if different)
12. Description of Work

    1. New Construction
    2. Replacement
    3. Enlargement
    4. One or Two Family Residential
    5. Multi-Family Residential
    6. Commercial
13. Type of Equipment

    1. Automatic Sprinkler
    2. Standpipe System
    3. Backflow Preventor/Type
    4. Hood System
    5. Alarm System
    6. Other
14. If other, please explain
16. Type of Agent
18. Description of System
20. Location of Controls (Risers, Alarm Panels, etc)
22. Location of System in Building
24. Type of Alarm Supervision
26. Special Information/Comments
28. *Certifications of code compliance and installation testing required, meeting IBC, IRC, NFPA, and all other applicable state, federal, and local regulations.
30. *New commercial buildings require (IFC 506.1) key box installation per city fire department standards.
32. *Are prints, calculations, instruction manuals and/or as-built drawings available to the inspector and customer?
34. THE APPLICANT HEREBY AGREES THAT THE APPROVAL OF PLANS OR THE ISSUING OF A PERMIT PROCURED BY MISREPRESENTATIONOF FACTS OF CONDITIONS OR MISSTATEMENTS IN APPLICATION DOES NOT LEGALIZE AN ILLEGAL CONSTRUCTION ARRANGEMENT OR CONDITION. THE PERMIT FEE SHALL BE CALCULATED BASED ON THE ESTIMATED COST AND NATURE OF WORK.
36. eSign- First Name
37. eSign- Last Name
38. Date
40. ** Please note that a fee will be required. You may call with a Credit Card Number, send a check/cash, or stop into City Hall to pay for your fee. Your fee total will be sent with the permit.
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42. 1. Receive an email copy of this form.
43. Email address

    This field is not part of the form submission.

44. Submit

* indicates a required field