Date:
FIRE PROTECTION PERMIT APPLICATION
Application #:
(Sprinklers – Suppression – Detection – Alarms)
Associated
Building Permit #:
Permit # FP
Permit Fee:
City of Newport News
Department of Codes Compliance
2400 Washington Avenue 3
rd
floor, Newport News, Virginia 23607
757-933-2311/757-926-8311 (fax) /codesclerical@nnva.gov(email)
www.nnva.gov/codes-compliance
Project Address:
Unit:
Parcel ID:
Applicant (Check One) Owner Contractor Agent Design Professional
Property Owner
Tenant
Phone #
Name
Applicant Address
Address
Contractor Business Name
Phone #
City/State/Zip
Contractor Address
Phone #
Fax #
Contractor State License #
Class
A
B
C
CID #
Email Address
Email/Other Contact Information
Work to be performed on: Type of work: I agree to perform the proposed work in conformance with the Virginia Uniform Statewide Building Code and the ordinances and
regulations of the City of Newport News.
Residential New Repair/Alt
Print name_________________________________________Signature________________________________Date________________
Commercial Addition Other
Multi-Family Project Cost $___________________ Remarks_____________________________________________________________________________________________________
__________________________________________________________________________________________________________________________
QUANTITY & TYPE OF DEVICES/EQUIPMENT
Sprinkler Alteration
Standpipe Dry
Underground Fire Main
Dry Chemical System
Access Control
Wet Sprinkler System
Fire Pump
In Building Riser 5’out
Wet Chemical System
Monitored Fire Alarm
Dry Sprinkler System
Total Flooding System
FDC
Clean Agent System
Fire Alarm Alteration
Pre-Action System
Water Flow Monitor
Other
Manual Fire Alarm System
Standpipe Wet
Backflow Device
Automatic Fire Alarm System
__________________________________________________________________________________________________________________________________________________________________________________________
Office Use Only
Remarks:
Cash:
Check:
Escrow:
Customer ID #:
Approved By:
Date:
Cashier:
This application may be printed blank or filled in online and then printed.
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