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PLC:

a005fb

Agency:

plainfield fire department

For:

permits

Phone:

908-753-3430

Address:

315 central avenue
plainfield, new jersey 07060

*Required Field

Payment Information

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 which a Use is required to be registered 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).

Note: Each individual act requires a separate permit. There are five types of permits.

You should consult with the Fire Official about the number and types of permits required and for information on fees.

The type of permit required and the fee will be determined by application information and site inspection if needed.

*Applicant Name:

Middle:

*Last:

*Applicant Address:

*City:

*State:

*Zip:

Lot/Block:

*Applicant Phone:

(### - ### - ####)

*Location of Activity:

*Date of Activity:

(Month / Day / Year)

Emergency #:

The above named applicant hereby requests permission to conduct the following activity at the indicated

*Location:

*And for the keeping, storage, occupancy, Sale, handling, or manufacture of the following:

*State Quantities for each category to be stored, or used and the method stored or used:

*Choose your permit type:

*I acknowledge:

I have read the application,the info is correct,and I am the owner,or duly authorized to act on the owner's behalf and agree to comply with applicable requirements of Fire Code and specific conditions imposed by the Fire Official.

Form Number (Office Use Only):

Payment Amount

*Payment Type:

Enter Payment/application Fee Amount :

Subtotal:

$0.00

Total:

$0.00

Billing Information

*First Name:

Middle Initial:

*Last Name:

*Billing Address:

*City:

*State/Province:

*Zip:

*Country:

*Phone Number:

*Credit/Debit Card:

(enter the full card number without any dashes or spaces)

*Expiration Date:

*Card Security Number:

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