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FILLABLE GAS PERMIT APP- REVISED 10.15.2024 SJOAPPLICATION for GAS PERMIT Building Department 102 West Main Street Prattville, AL 36067 334.595.0400 building@prattvilleal.gov I certify that I have read this document and state that the information is correct. I agree to comply with all City of Prattville ordinances and state laws related to facilities listed above. Applicant Signature Date New Construction: No Yes - Building Permit #: _______________________ Job Type: Residential Commercial - Job Cost: $____________________ Applicant: _____________________________________________Phone: _____________________ Prattville Bus. License #: __________________AL or Local Prof. License #: __________________ Job Location (Address): _____________________________________________________________ Job Description: ___________________________________________________________________ Owner/Builder/Contractor: _________________________________ Phone: ___________________ Gas Type: Natural Propane GAS FACILITIES *Please be aware, after the 2nd failed inspection, there will be a $100.00 charge, for each re-inspection thereafter* QTY QTY Dryers Pool/Sauna Heaters Cook Tops Generators Ovens/Ranges/Stoves Repair Work Deep Fat Fryers Air Tests and Finals Grill Connections Other: Gas Logs Other: Gas Lights Furnaces Permit Fee $ _________ Base Fee $ __25.00__ Total Due $ _________ Heaters Water Heaters