Fire Permit Survey Form Revised 011006.doc - clarkcountynv 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering the PROJECT ADDRESS and PROJECT NAME at the top of the form. Ensure accuracy as this information is crucial for processing your permit.
  3. Fill in the DATE and ASSESSOR’S PARCEL NUMBER(S) to identify your property clearly.
  4. Provide the CONTACT PERSON's name and PHONE # for any follow-up questions regarding your application.
  5. Select the INITIATING AGENCY by checking the appropriate box, and enter any required APPLICATION # or PERMIT # along with a signature.
  6. For each item listed, check ‘Yes’ or ‘No’ based on your project’s specifics. Note that a ‘Yes’ response may require additional permits.
  7. If applicable, ensure you have signatures from both the Fire Department and Building Division where indicated.
  8. Finally, print your name, circle your role (Property Owner, Occupant’s Legal Representative, etc.), sign, and fax the completed form to the Clark County Fire Department.

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