Los Angeles Fire Department
Application for Fire Project Permit Application for Special Permit LOCATION INFORMATION Address:
Date of Use:
Name:
Multiple Use Dates:
City:
Phone: State:
Zip:
CONTRACTOR INFORMATION Name:
Phone:
Address: City:
State:
Print Name:
Title:
Zip Code:
PROPERTY OWNER / SPONSORING ORGANIZATION Name:
Phone:
Address:
City:
State:
Print Name:
Title:
Zip Code:
** DO NOT WRITE BELOW THIS LINE **
ITEM
Fee Exempt
❑
CODE
QTY
FEE