Life Safety Division • City of Duluth Fire Department
615 West First Street • Duluth, MN 55802
Phone: 218-730-4380 • Fax: 218-730-5902
Email: lifesafety@duluthmn.gov • Website: www.duluthmn.gov/fire/
Fuel Tank Application - $ 78.00 Fee (per tank)
SITE INFORMATION-
Site Address:_______________________________________ Owner/Business Name: ___________________
Tank Project Start Date ____/_____/_________ Anticipated Completion Date ____/_____/_________
Underground Tank Installation Above Ground Tank Installation
Underground Tank Removal Above Ground Tank Removal
Temporary Tank Installation
Number of tanks: _____________ Size of tanks: ___________________
Description of Tank Project:
Permit Applicant:
Name:________________________________________ Phone Number_________________________
Address:___________________________________ __________________________________________
Email Address:________________________________________________________________________
Permit Contact (if different):
Name:________________________________________ Phone Number_________________________
Address:___________________________________ __________________________________________
Email Address:________________________________________________________________________
I hereby acknowledge that the information above is correct and that the burning will be in conformance with DNR regulations
and City of Duluth Codes and Ordinances.
_________________________________________ _________________________________
SIGNATURE DATE