Extraction Process Permit Application

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.

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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