Permit Application

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

Property Information

Property Street Address (required)

Address Line 2

City (required)

State (required)

Zip Code (required)

Work Description

Job Description of Work | Scope

Square Ft.

Construction Type

Occupancy Type

Contractor's Information

Contractor's Company Name

Contractor's Name (First) (required)

Contractor's Name (Last) (required)

Contractor's Email

Confirm Email

Contractor's Phone

Contractor's Street Address (required)

Address Line 2

City

State

Zip Code

Tenant/Business Name (First)

Tenant/Business Name (Last)

Tenant's Email

Property Owner's Name (First)

Property Owner's Name (Last)

Property Owner's Email

Property Owner's Phone

Property Owner's Street Address

Address Line 2

City

State

Zip Code

Construction Plans: Submit a copy of plan with this application or email separately from this form. (required)

Uploaded with Application

Emailed Separately (Send to prevention@louisvillefire.com)

Copy of Plans

Certification

Signer Name (First) (required)

Signer Name (Last) (required)

Signature Date (required)

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