Extraction Process Permit Application

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This form shall be completed and signed by a representative of the property (site) applying for the permit(s). It shall be returned to Front Range Fire Rescue with complete plan review application fee payment.

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Business Address
Permit Site Address
Type of Extraction Proposed of Extraction Process (check all that apply)

Attach detailed hazardous materials inventory statement.
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Attach applicable engineering approval(s) from Denver Fire Department, as needed.
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