Fire Protection Permit - Towamencin Township

TOWAMENCIN TOWNSHIP
APPLICATION FOR FIRE PROTECTION SYSTEM PERMIT
Date: ___________________
I (we) hereby make application for a permit to erect/install/alter (indicate one per application) Fire Alarm Sprinkler
Standpipe NFPA 14 Class UL 300 Clean Agent Fire Pump Fire Service Main Kitchen Mechanical Exhaust
Type of System: WET PRE-ACTION DRY DELUGE OTHER: EXPLAIN ___________
Address of Work Site: ________________________________ Intended Use of Building (if dwelling, state number of families):________
Work Proposed and materials to be used (attach plans with PE or NICET III/IV Seal): ________________
Number of Devices/Heads/Nozzles: _______________
Owner: __________________________
Permit Fee: _____________________ See Fire Protection Fee Schedule.
Address: _____________________________________________________________________
Contractor: _______________________ Address: ________________________ Phone Number: ____________________
Fax Number: _____________________
Electrical Inspection Agency for fire alarm wiring: _____________________________
Construction Cost: ___________________________
All installers must be a minimum of NICET Level 2 or provide proof of factory training. Designers must be a minimum of NICET Level III Minimum or
a Fire Protection Engineer
Applicant's Signature: _______________________ Applicant’s Name (Print) _____________________ NICET Number# _______________
Application approved by: ______________________________________
Date: ________________
- 12 -