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2. Notice

   No permit will be issued until the $50 fee is received. Please make checks or money orders payable to "County of Henry" and send to:
   Henry County Fire Marshal's Office
   1024 DuPont Road
   Martinsville, Virginia 24112

4. Type of Fire Protection System

   1. Fire Alarm
   2. Automatic Sprinkler System
   3. Commercial Cooking Hood Suppression System
6. Business Name*
8. Business Address*
10. City*
11. State/Province/Region*
13. Postal/Zip Code*
14. Country*
16. Contractor Performing Work*
18. Contractor Address*
20. City*
21. State/Province/Region*
23. Postal/Zip Code*
24. Country*
26. Site Manager*
28. Site Manager Phone Number*
30. Email*
32. Upload Documents/Drawings/Plans*
34. Scope of Work*

    Briefly describe the scope of work to be done.

Leave This Blank:


36. 1. Receive an email copy of this form.
37. Email address

    This field is not part of the form submission.

38. Submit

* indicates a required field