Fire Protection System Alteration Counter Permit Application Property InformationProject Address(Required) Street Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific Property Owner(Required) Property Owner PhoneProperty Owner Email Business Name Associated Building Permit Number (if applicable)Fire Protection ContractorCompany Name(Required) Company Address(Required) Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Contractor's State License Number Primary Contact Name First Last The person listed will receive all correspondences in reference to the permit application. Primary Contact Phone(Required)Primary Contact Email(Required) Project InformationProject Type(Required) Add/Relocate Fire alarm devices (4 or less) Sprinkler System Alterations/Additions (≤ 20 Heads) Relocate Dry or Wet Chemical System Nozzles Number of Alarm DevicesPlease enter a number less than or equal to 4.Must be less than 4 for a counter permitNumber of Sprinkler HeadsPlease enter a number less than or equal to 20.Must be less than 20 for a counter permitNarrative(Required)Provide a brief narrative description of the work to be doneSubmittal Drop files here or Select files Max. file size: 256 MB. Optional: You may choose to attach a drawing with enough detail to illustrate the placement of added/altered devices, sprinkler heads, or nozzles.AffirmationAffirmation(Required) I agree to the followingI hereby affirm that I have read and completed this application and know the same to be true and correct. All provisions of the law & ordinances of the City of Salisbury governing the proposed work will be complied with whether specified or not. No work will be performed on the above property not specifically described herein. I understand that all work performed is subject to a final inspection. Any application for, or acceptance of, any permit requested or issued pursuant to the Fire Prevention Code shall constitute agreement and consent by the person making the application or accepting the permit to allow representatives from the Office of the City of Salisbury Fire Marshal's Office to enter the premises at any reasonable time to conduct such inspections as required by the Fire Prevention Code.Submitting Party's Name(Required) First Last Submitting Party's Email(Required)
