Fire sprinkler permit with chemical additive

Project information Project location

Address

Assessor's parcel number

LVVWD project number (Optional)

Project name

Jurisdiction

Will the proposed fire sprinkler system have an auxiliary water supply?

Brief description of the proposed fire sprinker system (Optional)

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Contact information

Contractor name

Contact first name

Contact last name

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Business information

Business name

Address 1

Address 2 (Optional)

City

State

Postal code

Digital signature

By checking this box, you are electronically signing this request for a fire sprinkler permit with the Las Vegas Valley Water District. You agree your electronic signature is the legal equivalent of your handwritten signature. You also agree that no certification authority or other third-party verification is necessary to validate your electronic signature and that the lack of such certification or third-party verification will not in any way affect the enforceability of your electronic signature.