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Fire Prevention Bureau - Non-Life Hazard Use Registration
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(**) INDICATES DEPT. USE ONLY
Please do not leave any information blank
If you have any questions, please call the Fire Prevention Bureau at (973) 857-4761 or online below
SUBMIT A QUESTION
**Registration Number
FPB USE ONLY
**Fee
FPB USE ONLY
*
Application Date
*
Business Name
*
Business Address & Suite(if applicable)
*
Business Phone
*
Business E-mail Address
*
Business Ownership Type
Corporation
Individual
Partnership
Cooperative
Government
LLC
*
Business Owner Name(first & last)
*
Business Owner Address, City, State, Zip Code
*
Business Owner Phone
*
Business Owner E-mail Address
*
Applicant Name(first & last)
*
Applicant Address, City, State, Zip Code
*
Applicant Phone
*
Applicant E-mail Address
*
Brief Description of Business
*
Special Hazards
*
Emergency Contact #1(name and phone #)
*
Emergency Contact #2(name and phone #)
*
Business Square Footage
*
Occupancy Load
*
Height of Building
*
Number of Floors/Stories
**Non-LHU Type/Description
FPB USE ONLY
**Block-Lot-Qualifier
FPB USE ONLY
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