PERMIT # __________________
APPLICATION FOR PERMIT
FIRE PREVENTION
CITY OF DOVER, N.H.
DATE: ___________________
Location of Building: _________________________________________________ Owner:_____________________________
Owner’s Address: _________________________________________________ __Owner’s Phone #_____________________
Permit cost for installation or modifications to Fire Alarm or Sprinkler Systems is reflective of a $25.00
application fee, and $15.00 per $1,000 of the total system installation value.
Permit type:
Sprinkler system
Fire Alarm system
Other:
Qty
Fee NOTES:
APPLICATION FEE
$25.00
Commercial cooking ventilation systems:
Modification to
$250.00
$200.00
$50.00
Fire pump installation
$375.00
Including supression system
Not including suppression system
Fire water tanks/cisterns:
$200.00
$225.00
Aboveground
Underground
Underground Storage Tanks:
$60.00
$175.00
$175.00
Removal only
Installation only
Removal and Installation
Woodstove, Pellet Stove & Chinmey Inspections
$25.00
TOTAL FEE:
I hereby acknowledge that I have read this application and state that the above is correct. I agree to allow inspections by the inspector upon notification and at
reasonable times, and that the construction and installation will be in accordance with the plan submitted and in accordance with all applicable codes and
ordinances of the City of Dover, and the State of New Hampshire.
Contractor Name (print) _____________________________________________ Contractor (sign) _____________________________________
E-mail address: ____________________________________________________________________
Tel.#: ____________________________________ Address: ___________________________________________________________________
Paid By: ___________________________ Check: _______________ Cash: ______________ Date:_______________ Initials: _______________
Fire Prevention Officer: ______________________________________________________________ Date Approved:_____________________
01/2014 mmd