Apply for A Propane Fuel Permit

This form must be completed and attached to the front of the plans.

Property Information

Property Address (required)

Address Line 2

City (required)

State (required)

Zip Code (required)

Tenant's Name (First)

Tenant's Name (Last)

Tenant's Email

Confirm Email

Property Owner's Name (First) (required)

Property Owner's Name (Last) (required)

Property Owner's Address (required)

Address Line 2

City (required)

State (required)

Zip Code (required)

Property Owner's Phone (required)

Property Owner's Fax

Property Owner's Email (required)

Confirm Email (required)

Contractor's Information

Contractor's Name (First) (required)

Contractor's Name (Last) (required)

Contractor's Company Name

Contractor's Address (required)

Address Line 2

City (required)

State (required)

Zip Code (required)

Contractor's Email

Confirm Email

Contractor's Phone

Contractor's Fax

Work Description

1st. Floor | Sq. Ft.

2nd. Floor | Sq. Ft.

3rd. Floor | Sq. Ft.

Basement | Sq. Ft.

Garage | Sq. Ft.

Other | Sq. Ft.

Other | Details

Sprinklered Area | Sq. Ft.

Construction Type

Occupancy Type

Occupancy Max

Job Description of Work | Scope

Construction Plans: You can either submit a copy of your plans with this form, or email separately from this form. (required)

Uploaded to This Form

Emailed Separately (Send to prevention@louisvillefire.com)

N/A

Certification

Signer Name (First) (required)

Signer Name (Last) (required)

Signature Date (required)

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