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2. 
4. Jenks Fire & Rescue
   1115 W 121st St
   Jenks, OK 74037
   918-298-1491
8. Permit #
10. Project Name*
12. New or Remodel*
13. Estimated Cost*
15. Occupancy Type*
16. Occupancy Load*
18. Project Address*
20. City*
21. State*
22. Zip Code*
24. Designer*
26. Phone Number*
27. Fax Number
29. Email Address*
31. Fees:
    All applications have an associated fee. This fee must be paid before the application will be considered for approval. Submit verification of payment with a copy of an issued Building Permit or Small Job permit, purchased at City Hall, to pconway@jenksok.org, along with any questions.
33. I, the undersigned, am submitting one (1) set of digital plans (paper plans no longer accepted) of fire suppression plans for review and approval to the Fire Chief of the City of Jenks. I further state that I agree to perform a system test at the time of the final inspection. Failure to adequately perform this test as prescribed by the inspecting Agent will cause the system to be considered non-compliant and a Certificate of Occupancy will not be signed until compliance is reached. Upon review and approval of your submitted drawings, you will receive a Letter of Conditions statement for the Fire Official which will serve as your authorization to begin work. * Submit your drawings to pconway@jenksok.org or larger drawings via Dropbox, or you can drop off your disk.
35. 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.

    1. I agree.
37. Electronic Signature
38. Date:
40. Representing (Fire Suppression Company)*
41. License No.*
Leave This Blank:


43. 1. Receive an email copy of this form.
44. Email address

    This field is not part of the form submission.

45. Submit

* indicates a required field