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2. First Name*
3. Last Name*
5. Email*
6. Phone
8. Address
10. City
11. State
12. Zip Code
16. Please select what you are contacting the Fire Marshal's Office about.

    1. Complaints about Fire Violations
    2. Fire Code Permits
    3. Inspections
18. Comments / Questions
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20. 1. Receive an email copy of this form.
21. Email address

    This field is not part of the form submission.

22. Submit

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