First Name: * Request Type: Cost: Last Name: Company: Address 1: Address 2: E-Mail: Phone:   * * * * * * * Fax: * = Required Information. Project/Business Name: Project Address 1:  Project Address 2: Use abbreviated street types: st, dr, ave, etc...   Please confirm your project address is within the city limits of Winston-Salem  City:State:Zip:City:State:Zip: Customer and Project Information Entry - (one request at a time) Format: ###-###-#### Format:   Please contact Fire Department personnel at (336)734-1290 if you have any questions concerning the fees or this process. If property is not located in the city limits, DO NOT COMPLETE this form. Contact Forsyth County Fire Deprtment: 336-703-2550
City of Winston-Salem Fire Permit Payment Page

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