FIRE SERVICE DEPARTMENT FB/BP/

f.dvke.s,s .sks wdrlaIK whoqñm; fl;;blj;jpd; jghJfhg;Gf;fhd tpz;zg;gk;

APPLICATION FOR THE FIRE SAFETY REQUIREMENTS.

01. whs;slref.a ku (…………………………………………………………………………………….

chpikahshpd ngau; ..………………………………………………………………………….………

Name of the Owner

02. ,smskh (…………………………………………………………………………………….

tpyhrk; …………………………………………………………………………………….

Address

03. oqrl:k wxlh (…………………………………………………………………………………….

njh. Ngrp ,yf;fk;…………………………………………………………………………………….

Tel. No

04. boslrSug fhdacs; f.dvke.s,af,a ,smskh (…………………………………………………………..

mikaTs;s fl;blj;jpd; tpyhrk ; ………………………………………………………..….

Address of the premises (Proposed)………………………………………………………..…

……………………………………………………………………………………………………..…….

.………………………………………………………………………………………………………..…

05. f.dvke.s,af,a uq,q j¾. m%udKh (

Ko fl;blj;jpd; jiuasT ………………..…………………………………………

Total Floor Area

06.f.dvke.s,a, l=uk lghq;a;la i|ydo ^ld¾hd, $ l¾udKa; Yd,d $ .nvd $ jHdmdr&

fl;blj;jpd; Nehf;fk; (fhupahyak; $njhopw;rhiy $fsQ;rparhiy $tpahghuk;&

Purpose of the Building (Office/factory/stores/Business)

……………………………………………………………………………………………………………

……………………………………………………………………………………………………………

iñmQ¾K f.dvke.s,s ie,iqñ msgm;a folla bosrsm;a l< hq;= fú' Two set of Council Drawings to be submitted

Ko fl;bj;jpd; tiuglj;jpd; ,uz;L gpujpfs; ifaspf;fTk ;

oskh (……………………… ……………………………… jpfjp whs;slref.a w;aik

Date chpikahshpd; ifnahg;gk;

Signature of the Owner