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CALDWELL FIRE PREVENTION OFFICE
PERMIT APPLICATION
30 Roseland Avenue
Caldwell, New Jersey 07006
Phone: 973-403-4629
Fax: 973-226-9142
Email: fireofficial@caldwell-nj.com

Please fill out and contact fire prevention bureau
ACTIVITY LOCATION: *
NAME: *
HOME ADDRESS (Make sure to include any apt/bldg#, city and zip code): *
PHONE: *
Please select an option below *
Required
Include Dates permit is being requested for: *
The above applicant hereby requests permission to conduct the following activity at the above location:
*
I hereby acknowledge that the information given is correct, and agree to comply with the applicable requirements of the New Jersey Uniform Fire code as well as any specific conditions imposed, and if not, this permit may be revoked and will be subject to penalties as provided by law. 
Please type name below as your signature for the application- along with the date and title.  *
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