Fillable Fire-prevention-single-use City of Stafford

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Fire-prevention-single-use City of Stafford

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U.S.A. forms for City of Stafford, TX

BROWSE CITY OF STAFFORD, TX (TX) FORMS

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STAFFORD FIRE MARSHAL’S OFFICE
2510 South Main Stafford, Texas 77477
Office Number (281) 403-5951 Fax Number (281) 208-6955
FIRE PREVENTION SINGLE USE JOB/EVENT PERMIT
(Please Print Clearly)
Location Address:
Phone Number:
Applicant Name:
Event Name:
Date(s) of Event:
Time of Event:
Emergency Contact 1:
Telephone #:
Cell Phone #:
Email Address:
Emergency Contact 2:
Telephone #:
Cell Phone #:
Email Address:
Rev. 10/2018
Check Applicable Boxes
Plan Review
$ 100.00
Gates/Barriers Blocking Access
$ 50.00
Carnival/Fair/Special Event
$ 50.00
Hot Work (Asphalt Roof)
$ 200.00
Tent Use
$ 125.00
Explosive Storage
$ 1,250.00
Helicopter (Public Space)
$ 1,250.00
Total Fee Due
$
Scope of Work:
Accepted By:
Approved By:
Denied By:
Reason for Denial:
I HEREBY CERTIFY THAT I HAVE READ AND
EXAMINED THIS APPLICATION AND KNOW
THE SAME TO BE TRUE AND CORRECT. ALL
PROVISIONS OF LAWS
AND ORDINANCES
GOVERNING THIS TYPE OF WORK WILL BE
COMPLIED WITH WHETHER SPECIFIED
HEREIN OR NOT, THE GRANTING OF A
PERMIT DOES NOT PRESUME TO GIVE
AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR
LOCAL LAW RELATING TO CONSTRUCTION
OR PERFORMANCE OF CONSTRUCTION.
_________________________________________
SIGNATURE OF APPLICANT
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Fire-prevention-single-use City of Stafford

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Completed 1 November 2019

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