Commercial Exhaust Hood System Permit Application

About the Facility

Address of Facility(Required)

Primary Contact

Primary Contact(Required)
Primary Contact Address(Required)

INSTALLATION OF EXHAUST HOOD AND DUCT SYSTEM

Installing Company Address(Required)

Exhaust Hood and Duct System to be Installed

**CERTIFIED MANUFACTURE SHOP DRAWINGS AND MANUFACTURE INSTALLATION SPECIFICATIONS MUST BE SUBMITTED TO THE ELLSWORTH FIRE DEPARTMENT INSPECTION OFFICE BEFORE INSTALLATION.**

Installation/Testing/Maintenance of EXHAUST HOOD SUPPRESSION SYSTEM

Installation/Testing/Maintenance Company Address(Required)
(Technicians must submit proof of their qualifications to perform work on the Suppression System that is being permitted.)

Exhaust Hood Suppression System

**CERTIFIED MANUFACTURE SHOP DRAWINGS AND MANUFACTURE INSTALLATION SPECIFICATIONS MUST BE SUBMITTED TO THE ELLSWORTH FIRE DEPARTMENT INSPECTION OFFICE BEFORE INSTALLATION.**
Please enter a number greater than or equal to 0.
Is the Suppression System Connected to the Building Fire Alarm System?(Required)