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BURN PERMIT AGGREGATE STATEMENT

  1. Jenks Fire and Rescue Patch

  2. Jenks Fire & Rescue
    1115 W 121st St
    Jenks, OK 74037
    918-298-1491

  3. BURN PERMIT AGGREGATE STATEMENT

  4. I have applied for a Burn Permit and attest to the following:*

  5. As the manager of these properties I agree to follow all the guidelines in the burn permit application and agree to maintain control of the fire at all times. Further, I agree to pay for any damages or fees associated with the fire in the event Jenks Fire & Rescue must respond to control the fire.

  6. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

  7. Leave This Blank:

  8. This field is not part of the form submission.