Fillable TOWN OF HUDSON FIRE DEPARTMENT - INSPECTIONAL SERVICES (Town of Hudson)

Fill Online, Printable, Fillable, Blank TOWN OF HUDSON FIRE DEPARTMENT - INSPECTIONAL SERVICES (Town of Hudson) Form

Use Fill to complete blank online TOWN OF HUDSON (NH) pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

TOWN OF HUDSON FIRE DEPARTMENT - INSPECTIONAL SERVICES (Town of Hudson)

On average this form takes 9 minutes to complete

The TOWN OF HUDSON FIRE DEPARTMENT - INSPECTIONAL SERVICES (Town of Hudson) form is 1 page long and contains:

  • 2 signatures
  • 8 check-boxes
  • 25 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Town of Hudson

BROWSE TOWN OF HUDSON (NH) FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
Tank Removal Fee: Residential $30.00, Commercial/Industrial $60.00
INSP-85 - Rev. 3/2015
TOWN OF HUDSON
FIRE DEPARTMENT - INSPECTIONAL SERVICES DIVISION
12 School Street · Hudson, New Hampshire 03051 · Tel: 603-886-6005 · Fax: 603-594-1142
UNDERGROUND TANK REMOVAL PERMIT APPLICATION
Removal Address: _________________________________________________
Business Name: __________________________________________________
Type of Occupancy: Residential Commercial/Industrial
Estimated Cost: _____________ Permit Fee: _____________
Office Use:
Permit#: _______
Map: _______
Lot: _______
Zone: _______
Scheduled Removal Date: ____________________________ Fuel: Propane Oil
Tank Size: ____________ Number of Tanks: _________ Tank Serial #: __________________________
Removal Company: ___________________________________ Phone #: ____________________
Transporting Company: ___________________________________ Phone #: ____________________
Cleaning/Purging Company: ___________________________________ Phone #: ___________________
Has the tank been prepared in accordance with all applicable standards? Yes
No
Will the tank be cut on-site or transported intact? On-site Transported Intact
Where will the removed tank being transported to? _____________________________________________
Property Owner: ______________________________________ Phone #: ______________________________
Mailing Address:______________________________________________________________________________
Email: _______________________________________________________________________________________
NOTE: An appointment must be scheduled prior to the removal of the tank to arrange for any fire
protection that may be required. The Inspectional Services Division must witness the tank before
the site is filled in and must inspect the tank before it leaves the site.
My signature indicates that the removal for the above mentioned tank is in compliance with all
applicable state and local laws and codes.
_____________________________________________ _________________________
Signature of Responsible Party Date
_____________________________________________ _________________________
Signature of Permit Clerk Date
click to sign
signature
click to edit
click to sign
signature
click to edit
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

TOWN OF HUDSON FIRE DEPARTMENT - INSPECTIONAL SERVICES (Town of Hudson)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 18 February 2021

Message

View Audit Log
Print With Audit Log
Duplicate Document