Oil-burning Equipment Permit Application

Newbury Fire Department
PO Box 373, Newbury NH 03255
Permit to Install and Operate Oil-Burning Equipment

Click here to download a printable version of this form to mail to the Newbury Fire Department

To the Chief of the Fire Department:

The undersigned hereby applies for a permit to install and operate oil burning equipment in compliance with R.S.A. 153.5 (State Fire Code) and NFPA 31 (Standard for the Installation of Oil-Burning Equipment) as follows :

Address:

Address # Posted

Map and Lot Number

Type of Occupancy:

Resident Other

Number of Stories

Owner:

Contact Phone*:

Address of Owner:

Contact Email*:

Occupant's name:

Does the building have Smoke & Carbon Monoxide detectors?

Make, Model & Serial Number of Oil Burner:

Size and Location of Tank

Name of Installer

Business Name:

Phone:

E-Mail:

Address:

Town:

Zip:

State: