Fillable Fire Department Construction Permit Application (City of Hickory)

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Fire Department Construction Permit Application (City of Hickory)

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HICKORY FIRE DEPARTMENT
DIVISION OF FIRE AND LIFE SAFETY
76 North Center Street, Hickory, NC 28601
Phone: (828) 323-7522
Life. Well Crafted. CONSTRUCTION PERMIT APPLICATION
PAYMENT REQUIRED WITH APPLICATION (SEE FEE SCHEDULE FOR AMOUNT)
Type of System or Equipment and Work:
Fire Suppression System:
New Install
Renovation/Modification Existing
Sprinkler System:
New Install
Renovation/Modification Existing
(bldg. sq. ftg for new install only)
Fire Alarm System:
New Install
Renovation/Modification Existing
bldg. sq. ftg for new install only)
Flam/Comb Liquids Storage Tank(s)
New Install
Removal or place Out of Service
Aboveground
Underground
# of Tanks
Other:
Description of Work:
Project Information: (Must have complete address: numerical, street name and quadrant)
Project Name:
Project Address:
Fire Protection Contractor Information: (Name of company applying for permit)
Contractor:
Telephone #:
E-mail Address:
Billing Address:
City:
State:
Zip:
NC State License #:
Class(es):
The undersigned made application for permits and inspection of work described and agrees to comply with all applicable state and local
codes and laws regulating the work. All fees are in accordance to the Fee Schedule based on type of system or equipment and description
of work. Double fees will be charged when work is started prior to obtaining a permit.
Applicant Name:
Date:
(Please Print Clearly)
Applicant Signature:
DIVISION OF FIRE AND LIFE SAFETY USE ONLY:
Reference #/Permit #:
Customer #:
Date & Amount Paid:
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Fire Department Construction Permit Application (City of Hickory)

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Completed 23 January 2021

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