Application For Exemption Fire Prevention Equipment - Municipality Of Anchorage, Alaska
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1Mail to:
MOA Property Appraisal
MUNICIPALITY OF ANCHORAGE
P.O. Box 196650
Anchorage, AK. 99519-6650
APPLICATION FOR EXEMPTION
Or return to:
FIRE PREVENTION EQUIPMENT
Property Appraisal
th
632 W. 6
Ave, Room 300
Anchorage
(907) 343-6770
Exemption application must be returned or postmarked no later than March 15 of the tax year.
Name of Owner: ______________________________________________ Date: _______________
Parcel Identification Number: ________________________________________________________
Legal Description: _________________________________________________________________
Address where system is located:______________________________________________________
Type of Structure:__________________________________________________________________
___________________________________________________________________________
Type of System: ___________________________________________________________________
___________________________________________________________________________
Date system installed: ______________________ Square Feet covered: _______________________
Authorized Inspection by: _________________________________________ Date:______________
Inspection results:
Passed: ______________
Failed: ___________________
Current Sprinkler Certification inspection / Approval must be attached.
I hereby certify that the above is true and correct and the fire prevention equipment is properly
installed and operating on the property described above.
Print Name: _____________________________________ Title: ____________________________
Signature: ________________________________________ Phone: _________________________
Address: _________________________________________________________________________
FOR ASSESSOR’S USE ONLY
Appraiser’s comments: ______________________________________________________________
_________________________________________________________________________________
Attach: Exemption worksheet, cost & ICS, & sprinkler inspection / certification.
Initials
______________
Update Sprinkler list (G:\....\Division Wide\CHECKLISTS\Sprinkler Exemptions).
Exemption Amount: $_________________________ = ____________% of building value.
Property Appraisal inspection by: __________________________________ Date: _______________
Assessor’s Decision:
Approved / Disapproved
Initials: _____________ Date: _______________
Exemption Activated:
Customer Svc:
Initials: ______________ Date: _______________
Initials: _________________
Update Sprinkler list (G:\....\Division Wide\CHECKLISTS\Sprinkler Exemptions).
G:\Finance\Prop Appraisal\Commercial\Sprinkler Exemption\Sprinkler Exemption Application
Rev. 1-21-16
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