Permit - Liquefied Petroleum Gases

Removal/Installation/Abandonment

Notice*
No permit will be issued until $50.00 fee is recieved. 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
Type of Tank

Type of Tank Above Ground Below Ground
Tank Size
Use

Use Storage Filling/Transferring Operations Use in Building Systems Other Other
Business/Company Name
Site Address Site Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Business/Company Phone Number Business/Company Phone Number - ### - ### ####
Individual in charge of site
Site Contact Phone Number Site Contact Phone Number - ### - ### ####
Email
Scope of Work