Kitchen Hood System Installation Application Form

Business Details

Application Information

Tenant/Business Name * Tenant/business name

Job Site/Property Address * Job Site/property address

City * City

Zip code * Zip code

Business owner Name * Business owner name

Business owner phone * Business owner phone

Installing Contractor * Installing contractor

Installing Contractor License # * Installing contractor license #

Installing Contractor Email * Installing Contractor email

Installing Contractor Phone * Installing contractor phone

Other Details

Installation Type *

New

Additional

Retrofit

Installation type

Brand Name/Model being installed * Brand name/model being installed

Description of work being done * Description of work being done

Verification

I hereby acknowledge that I have read this application and state that the above information is correct. I agree to comply with the Fire Code requirements adopted by Sedgwick County, the requirements contained in the National Fire Protection Association Standards and the manufactures recommended installation instructions. I understand that I must contact the Sedgwick County Fire Department at least 2 working days in advance to schedule an acceptance test. I further understand that if a re-inspection test of the system is needed due to a failure of the initial test, a $200 re-inspection fee may be assessed. *

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