BUREAU OF FIRE PREVENTION
William Smith TOWNSHIP OF FAIRFIELD Phone: 973-882-2735
Fire Marshal 230
FAIRFIELD ROAD, FAIRFIELD, NJ 07004 Fax: 973-882-0365
APPLICATION
FOR PERMIT
The
Uniform Fire Code states:
“Permits
shall be required, and obtained from the local enforcing agency for the activities
specified in this section, except where they are an integral part of a process
or activity by reason of which a use is required to be registered and regulated
as a life hazard use. Permits shall at all times be kept in the premises
designated therein and shall at all times be subject to inspection by the fire
official. “ [N.J.A.C. 5:70-2.7 (a)]
Date of application: _________________________________________________________________
Location where activity will occur: _____________________________________________________
Date:
_______________________ Time:
_______________________________________________
Applicant
Name: __________________________ Address: _________________________________
Organization
Name: ________________________________________________________________
Phone
/ Fax Number: _______________________ Emerg.#: ________________________________
Block
/ Lot: _______________________________ Registration#:
____________________________
The above named applicant hereby requests permission
to conduct the following activity at the above indicated location:
And
for the keeping, storage, occupancy, sale handling or manufacturing of the
following: ________
_________________________________________________________________________________
_________________________________________________________________________________
(State
quantities for each category to be stored, or used and the method stored or
used:)
_________________________________________________________________________________
_________________________________________________________________________________
I hereby acknowledge that I have read this application, that the information given is correct, and that I am the owner, or duly authorized to act in the owner’s behalf and as such hereby agree to comply with the applicable requirements of the fire code as well as any specific conditions imposed by the fire official.
__________________________________ ____________________________________
Applicant Signature Fire
Official Signature
______________ ____________
Fee
Amount Permit Type