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Fumigation Permit Application

  1. Danville Fire Department

  2. 600 Lynn St., Danville, VA 24541

  3. Phone: (434) 799-5226 Fax: (434) 797-8943

  4. FUMIGATION PERMIT APPLICATION

  5. Fee: $100 for Specific Dates (14 day maximum)

  6. Checks should be mailed to: 600 Lynn Street, Danville, VA 24541. Permit will be issued after payment is received.

  7. Fumigation Site Information:

  8. Fumigation Information:

  9. Products:

  10. Fumigator Information:

  11. Fire Marshal Approval:______________________________Date:_______________________

  12. (Rev. 2/15)

  13. Leave This Blank:

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