Application for Permits and Inspections (* = Required field)

Application Type: Inspection Permit !
Permit/Inspection Type: Inspection: Commercial (Business License Renewal) Inspection: Residential (Foster Care Adoptions) Inspection: Day Care Center or Home Base Day Care Inspection: Community Residential Facility (DOH) General Inspection: Condos/Co-Ops Residential Inspection Aviation Facility Dry Cleaning Plants Repair Garages & Motor Fuel Dispensing Facilities Explosives: Pyrotechnics Indoors/Outdoors Explosives: Site Permit Explosives: Vehicle Permit Fireworks: Aerial Display Fireworks: Retail Stand - Permanent Fireworks: Retail Stand - Temporary Fireworks: Wholesale Flammable & Combustible Liquids Fuel Storage Tanks: Hazardous Fuel Storage Fuel Storage Tanks: Tank Removal or Abandonment Liquefied Petroleum (Propane) Gas Propane Use: Heating - Construction Propane Use: Heating - Portable Outdoor Propane Use: Retail Storage Exchange Propane Use: Roofing Propane Use: Vending - Mobile Propane Use: Vending - Special Event Propane Use: Vending - Stationary Fuel Storage Tanks: Mobile Fuel-dispensing Station Fuel Storage Tank Repair Emancipation Day Fire Works Propane use: Open Flame/Torches - Special Events Fuel Storage Tank Installation Hot Work Operation: Annual Operators Permit Hot Work Operation: Hot Work Program Hot Work Operation: Site Specific Open Burning Open Burning: Bonfire Open Flames: Charcoal Grill (Commercial) Open Flames: Indoors Cutting & Welding Spraying or Dipping Open Flame - Heating or Cooking of Food (Not Charcoal or Propane) Public Assembly: Exhibits & Trade Show Plans Review Public Assembly: more than 100 Persons Streetery, Outdoor Cafe - Plan Review Battery Systems Liquid/Gas-Fueled Vehicles/Equipment in Assembly Buildings Compressed Gases - Cryo Jets Hazardous Materials Cold Spark - Open Flames Indoor/Outdoor Fumigation & Thermal Insecticidal Fogging Open Flames & Torches Appartus Use Brush Truck Fire Watch Special Events Use of Ambulance (either Basic life Suppoprt (BLS) or Advance Life Support (ALS) Evacuation Plan Review !
Base Price:

DLCP License #:
Quantity (lbs):!Exceeds Max. Quantity of

Literal1: Vehicle Tag: AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY !
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Customer Information:

Contact:

Name: !
Phone: !
Email: !Invalid Format

Company:

Name: !
Address: !
City: !
State: AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY !
Zip: !
Phone:
Email: Invalid Format

Service Location:

Business Name: !
Service Location: !
Ward: 1 2 3 4 5 6 7 8
Quadrant: NW NE SW SE

Event Information:

Name:
Location:
Floor:
Exhibit Area:
Start: Invalid Date/Time Cannot be in the Past
End: Invalid Date/Time Cannot be before Start

Permitholder Name: !
Permitholder Address: !
Supporting Documents:
Comments:

Payment Information:

Payment Amount:
Expedite:   The Permit Fee is doubled for Expedited Requests
Credit Card Type: Visa MasterCard Discover American Express !
Credit Card Number: !
Expiration Date: 01 02 03 04 05 06 07 08 09 10 11 12 / 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033 2034 2035 2036 2037 2038 2039 !
Security Code: !
Cardholder Name: !

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