SCHEDULE II
THE CORPORATION OF THE CITY OF PORT COQUITLAM
BY-LAW NO. 1298
APPENDIX ''c'!
APPLICATION FOR FIRELINE PERMIT

Date:

I hereby make application under provisions of the Building By-Law
to do fireline work as shown below:

ADDRESS:

OWNER: ADDRESS:

CONTRACTOR: ADDRESS:

No person except a fire protection system contractor holding a
current municipal business license shall be granted a fireline

. permit.

PURPOSE FOR WHICH BUILDING IS TO BE USED:

OCCUPANCY PERMIT ISSUED:

Date fireline plans approved:

Remarks:

Engineering Department Signature

a

Each 30 metres of Fireline

Siamese Connections

Fire Hydrants

First Sprinkler Head
Additional Heads
Hose Cabinets

Hose Outlets

Wet/Dry Outlets

4 OM KM KR mM OK OM

“

Standpipes

TOTAL

SIGNATURE OF APPLICANT: PHONE NO.