HomeMy WebLinkAboutAPPLICATION - 17-00196 - 6340 Sharptail Rd - Code Red Fire Services - Fire Safety Certification***PLEASE PROVIDE DOCUMENTATION OF TRAINING LEVELS,
INSTALLATION CERTIFICATIONS, LIABILITYINSURANCE, ETC. FORALL
DISIPLINES***
BUSINESS NAME:
PLEASE LIST ALL COMPANIES YOUR BUSINESS IS AUTHORIZED TO
REPRESENT:
COMPANY NAME: (,fade. Bed ire 5erv'ieeS PHONE #: ;O8 -S;20 - 497
COMPANY NAME:
PHONE #:
COMPANY NAME: PHONE #:
**PLEASE LIST ADDITIONAL COMPANY AUTHORIZATIONS ON THE BACK OF
THIS FORM**
I certify that I have read this application and declare under penalty of perjury that the information contained
herein is correct and complete. I agree to comply with all city ordinances, adopted codes, and state laws
relating to the installation, modification, service, and maintenance of new and existing life safety systems. I
hereby authorize representatives of this city to inspect any work for compliance purposes. I am either the
contractor responsible for the work, or I represent the owner as signified above and am acting with the owner's
/contractor's full knowledge or consent.
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PRINT NAME OF APPLICANT
APPLICANT'S SIGNATURE
DATE
PERMIT VALID UNTIL DECEMBER 31 OF THE CALENDAR YEAR APPLIED FOR.
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