Compressed Gas Permit Application

This form shall be completed and signed by the business owner or a representative of the property owner applying for the permit(s).

Business Information

Business Name

Physical Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Billing Address (if different than Physical Address above)

Address 2

City/Town

State/Province

ZIP/Postal Code

Contact Information

Contact Name

Contact Email Address

Phone

Compressed Gas Information

Type of Compressed Gas

Intended Use

Cylinder Size (cubic feet)

# of Cylinders

Total Volume

Type of Compressed Gas

Intended Use

Cylinder Size (cubic feet)

# of Cylinders

Total Volume

Type of Compressed Gas

Intended Use

Cylinder Size (cubic feet)

# of Cylinders

Total Volume

Attach additional pages if needed to provide complete and accurate inventory of all gases.

Upload requirements

Provide detailed, to-scale, site plan as directed in Policy.

Upload requirements

Indicate location(s) of compressed gas storage on attached to-scale drawing.

Upload requirements

I have read and understand the Front Range Fire Rescue policies regarding compressed gas storage and use. I also understand that Front Range Fire Rescue will conduct a site inspection, and that if I fail to comply with the adopted fire code, building code or NFPA standards, my permit(s) and/or approvals may be revoked without a refund.

Front Range Fire Rescue

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