CONCORD FIRE & LIFE SAFETY

HYDRANT FLOW TEST PERMIT APPLICATION
To Be Completed By Applicant & Mail / Drop Off
APPLICANT INFORMATION
Applicant: / Date:
Address:
Contact Person:
Telephone: / () - / Facsimile: () -
Mobile Phone: / () - / Email Address:
PROJECT INFORMATION
Project Address:
Static Residual Hydrant Number
Flow Hydrant Number (s)
What is flow needed for (i.e. Sprinkler system design/needed fire flow)
Check if you would like to witness the flow test. We will coordinate a time that will be convenient for both parties.
Hydrant Test Fee is $100 (We accept cash, check or credit card)
Submit payment along with the application. Please contact Fire Prevention if you would like to pay by cash or credit card (phone number listed below)
Attach map showing property with hydrant locations (Google, Yahoo, etc.)
Hydrant flow test will not be performed without a map or hydrant numbers listed on this form.
**Hydrant flows are conducted as soon as possible, as weather and staffing permits**
Owner or Agent: / Date:

Mail Paperwork, Map & Check To:

Concord Fire & Life Safety

Attn: Fire Prevention

100 Warren C. Coleman Blvd N

Concord, NC 28027

Phone: 704-920-5517

Email:

Updated 11/12/12