Fillable Fire Prevention Permit Application (Lake Havasu City)

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Fire Prevention Permit Application (Lake Havasu City)

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The Fire Prevention Permit Application (Lake Havasu City) form is 1 page long and contains:

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  • 10 check-boxes
  • 21 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Lake Havasu City

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LAKE HAVASU CITY FIRE DEPARTMENT
Fire Prevention Bureau
2330 McCulloch Blvd. N.
Lake Havasu City, AZ 86403
(928) 855-1141 lhcfire@lhcaz.gov
FD-247 Updated/CA 10-01-2019
Fire Prevention Permit Application
Permit process and time frame: In order to process your application or request for service, all requested information and any
attachments must be provided. Contact Fire Administration with any questions at (928) 855-1141 or email lhcfire@lhcaz.gov.
AFSS
Engineered Extinguishing System
Fire Alarm
Fuel Tank
Fire line
Project name/description:
Project address:
Property owner:
Phone:
Architect name:
Phone:
Contractor name:
Phone:
Contractor address:
Current City Business License and ROC License required.
Commercial
Residential
Scope of work:
Make checks payable to
Lake Havasu City.
The undersigned accepts responsibility to assure that the work conducted under this permit shall conform in all respects to plans
submitted in conjunction with this document and that all work shall be done in accordance with the City Codes of Lake Havasu City,
Arizona, and that occupancy or use of any structure will not be permitted or commence until a Certificate of Occupancy is duly issued.
Failure to comply with this requirement may result in a citation being filed.
Signature of Property Owner or Contractor Date
Clarification of Interpretation: A person may request the City to clarify its interpretation or application of a statute, ordinance, code,
or policy affecting the procurement of this license pursuant to A.R.S. § 9-839.
TO BE COMPLETED BY FIRE PREVENTION BUREAU
Approved by:
Date:
Comments:
Permit #:
Fee:
Cash Check Credit Card
Issued by:
Date issued:
Inspection scheduled: Yes
No
Date for inspection:
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Fire Prevention Permit Application (Lake Havasu City)

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Completed 23 January 2021

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