Fire Alarm Permit Application Form

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FIRE ALARM PERMIT APPLICATION
Fire Prevention Division
500 W. Big Beaver Road
Troy, MI 48084
248-524-3419
Date:
Contractor: ____________________________________
Phone: _________________________
Address: _______________________________________________________________________
Contact Name: _________________________________ Phone: _________________________
License #: _______________________________ Email: ________________________________
Listed contractor is applying for a permit to install or alter fire protection equipment as indicated
PERMIT MUST BE POSTED ON JOB SITE.
below at the following location:
Address: ____________________________________
Suite: _______________________
Owner: _____________________________________
Phone: ______________________
When ready for inspection call 248-524-3419. 48 hours advance notice is required.
Minimum Permit Fee
$70.00
EQUIPMENT TO INSTALL
NUMBER
X
COST PER ITEM
=
FEE
Alarm Control Panel
_______
$70.00
_____
Central Station Connection
_______
$45.00
_____
First Initiating Device
_______
$25.00
_____
Each Additional Device
_______
$10.00
_____
First Auxiliary Control Device
_______
$25.00
_____
Each Additional Device
_______
$10.00
_____
First Audio-Visual Device
_______
$25.00
_____
Each Additional Device
_______
$10.00
_____
First Communication Device
_______
$25.00
_____
Each Additional Device
_______
$10.00
_____
Other System / Equipment
_______
$70.00
_____
Total Fee
_____
Additional Fees:
Each Re-Inspection during normal working hours: Hourly rate of $70.00 per person with a minimum assessment of one (1) hour.
Each Re-Inspection during non-working hours: Hourly rate of $105.00 per person with a minimum assessment of three (3) hours.
__________________________
_____________________
______________________
Signature of Contractor or
Initials of Fire Dept.
Initials of Building Dept.
Authorized Representative
Plan Reviewer
Permit Issuer
Premise File #: ______________
Review Date: __________
Expiration: _____________
Comments:
_______________________________________________________________
Web Site:
Plan Submittal:
FD_Plans@troymi.gov
E-Mail
Disk
03-15

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