Emergency Services

Fire Code Permit(s) Application

Date of Application: (mm/dd/yyyy)

Business Name:

Address:



Contact Person:

Contact Phone: (xxx-xxx-xxxx)

Emergency Contact Phone Number (i.e. cell number): (xxx-xxx-xxxx)

Email Address:

Airport:
	DCA IAD
Location of Work:

Type of Permit Requested:
	Welding/Cutting Outside Cooking Open Burning Tent Blasting Hazardous Materials Open Flame/Candles Temporary Heating Permit Other:
Description of Work:

Requested Start Date: (mm/dd/yyyy)

Completion Date: (mm/dd/yyyy)

Hours of Operation: (i.e. 9:00 - 10:00 am)

Check here if this is for a time extension on an EXISTING Permit:

Number of EXISTING Permit:

Upon review of this application, you will be contacted by a Deputy Fire Marshal to complete the permit process.