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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
Call Dispatch Before You Burn:
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
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
Email Address
**For Fire Department Use Only**
Date Application Rcvd _ / /
Month Day Year
Date Insp Completed _ / /
Approved: [ ] Yes [ ] No
Month Day Year
ID #
Notes regarding Inspection (If disapproved, state reasons)
Date Issued:
Fire Official
Date Expires:
Month/ Day/ Year
Permit #:
** Permit must be kept at site at all times **
