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<br />F']re ;:;lier t\a!til \J'iHHarns <br /> <br />Z~P~"f;t'RtH~LLS F]R!~ DE? ~~~q'T~!E~\fT <br />690- Cairl Fioad. =eonyrhiils. :='.. J::SiJ.:, <br /> <br />3U5 ;3"] 3)~30-~:'~>4'i <br /> <br />,- a~~ <br /> <br />8~; 3~ 7'3C-.~: G~.-.l. <br />. ' <br /> <br /> <br />Occupancy No.: <br />Plan No.: <br />Business Name: <br />Business Address: <br />Business Phone No.: <br />Business Fax No.: <br />Contact: <br /> <br />PLAN REVIEW FEES <br />B Site Plan N/C <br />Multi-Family/Commercial ,06 sf <br />(Minimum Charge $25.00 <br />o Plan Revisions DBl <br /> <br />SPRINKLER SYSTEMS <br />[)6 - 25 Heads $50 <br />~ 26 plus Heads $100 <br />STANDPIPE SYSTEM <br />o Per Riser $50 <br />FIRE PUMP <br />o Per Pump <br />FIRE ALARM SYSTEM <br />o 0 - 25 Devices $50 <br />026 plus Devices $100 <br />SUPPRESSION SYSTEMS <br /> <br />R~i: :: <br /> <br />BOther $50 <br />KITCHEN EXHAUST <br />o Hood/Ducts <br />OTHER <br />~LP Installation per tank <br />Fuel Tank Installation <br />Natural Gas Installation <br />Spray Booth <br /> <br />Comments: <br /> <br />$tOO <br /> <br />INSPECTION FEES <br />Annual N/C <br />1 st Re-inspection N/C <br />2nd Re-inspection $100 <br />3rd Re-inspection $250 <br />4th Re-Inspection $500 <br />(Business closed until <br />violations corrected) <br />SPRINKLER SYSTEMS <br />Hydro Undergrounds $45 <br />ydrostatic System $65 <br />Wet Acceptance $45 <br />Dry Acceptance $45 <br />Hydrant Flow $75 <br />FIRE ALARM SYSTEM <br />B System Acceptance $50 <br />Recall Acceptance $50 <br />OTHER <br /> <br />Billing Address: <br />BilliRg P!;1QR8 ~~: <br />Billing Fax No. ' <br />Contact: <br /> <br />PERMIT FEE <br />Sprinkler $50 <br />Standpipes $50 <br />Fire Pump $50 <br />Hoods $50 <br />Detection $15 <br />lP Gas $50 <br />Natural Gas $50 <br />Fuel Tanks $50 <br />Sparklers $100 <br />Fire Works $500 <br />Camp Fire $25 <br />Controlled Bul'!l $25 <br />Hood/Duct $50 <br />Place of Assembly $50 <br />Fire Protection $25 <br />Aammable Application $50 <br />Waste Tire Storage $50 <br />Generator < f0/IJ $100 <br />Generator >30 f0/IJ 150 <br />Bic-Hazard Waste $100 <br />Fumigation Tenting $50 <br />Torch Pot/Applied $50 <br />Haz. Materials $100 <br /> <br />B <br /> <br />(I ,- <br />PERMIT TOTAL~ <br /> <br />'t/1O ~ ~ <br /> <br />FALSE ALARM FEE <br />1 st Alarm N/C <br />2nd Alarm N/C <br />3rd Alarm NlC <br />4th Alarm $100 <br />5th Alarm $150 <br />6th Alarm $200 <br />NON COMPLIANCE $150 <br /> <br />FALSE ALARM <br />TOTAL i <br /> <br />Tent 1 O'x1 0' or greater <br />Fire Pump <br />Fire Suppression <br />System Acceptance <br />B Exhaust Hood/Duct <br />Re-inspection <br />(other than annual) <br />D Inspection scheduled DBl <br />and cancelled less than <br />24 hours <br />Bconstruction Insp, N/C <br />./ Emergency Vehicle Ace rm1 <br />PLANS TOTAL~ INSPECTION TOTAL~ <br /> <br />GRAND TOTAL <br /> <br />Fire WalllSmoke Wall <br />lP Gas <br />Natural Gas <br />Fuel Tanks <br /> <br />$15 <br />$25 <br />$25 <br />$25 <br />$15 <br />$45 <br />$30 <br /> <br />$50 <br /> <br />$50 <br />$50 <br />$50 <br />$50 <br /> <br />$30 <br />DBl <br /> <br />Date: <br /> <br />/of,s-/()7 <br /> <br />Jllh <br />