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1725 25 STREET NORTH, TEXAS CITY, TX 77590

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TEXAS CITY FIRE DEPARTMENT
1725 25
TH
STREET NORTH, TEXAS CITY, TX 77590
Phone: 409-643-5700 FAX: 409-643-5719 Dispatch: 409-643-5721
Burn Permit
Date Requested for Burn Pile Inspection: _______/________/________
Month Day Year
Note: A minimum of 3 business days advance notice required for inspection
Date Issued: ________________ Fire Official_______________________
Date Expires: _______________ Permit #: _______________________
Month/ Day/ Year
Business and/Applicant Name: ____________________________________________
Business Address: ______________________________________________________
Burn Location: _________________________________________________________
Phone: ________-_______-_______ Cell Phone: _______-_______-_______
Fee Required: $___________ Applicable fees must be paid prior to permit issuance.
Amount
Cash [ ] Check [ ] Fee Received By: _________________________________
Details regarding the above request must be filed when application is made and
whenever requested by the Fire Official. It is the applicant’s responsibility to ensure that
conditions are in accordance with applicable State and Local fire regulations. I
understand that it is the sole discretion of the Fire Official making inspection to
approve or disapprove this request for any reason.
I have received burning rules and regulations and understand it is a Fire Official’s
decision to revoke this permit for non-compliance and/or any other reason.
Applicant may not proceed without permit approved by Fire Official.
_______________________________________ __________________________
Applicant Signature Date
______________________________________________________________________
**For Fire Department Use Only**
Notes regarding Inspection (
If disapproved, state reasons)_________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Approved: [ ] Yes [ ] No
** Permit must be kept at site at all times **
Date Application Rcvd _____/____/____
Month Day Year
Date Insp Completed _____/____/____
Month Day Year
Email to: dharris@texas-city-tx.org
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Fire Department Receives Permit
Application & Required Fees
Fire Department Inspects burn piles.
For best results applicant should be onsite at time
of burn pile inspection.
Burn piles must meet all requirements prior to issuance
of a permit.
Applicant notified that permit
has been issued & must be
picked up @ Fire Admin.
Approved
Not
Approved
Applicant makes
corrections to
burn pile &
request a
reinspection.
Corrective Actions
required prior to
issuance of burn
permit will be
discussed with
applicant & noted
on the permit
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1725 25 STREET NORTH, TEXAS CITY, TX 77590

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Completed 16 July 2020

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