Liquefied Petroleum Gases Permit
Applicant Information
Business Name
Business ID Number
First Name
Last Name
Mailing Address
City
State
Zip
Email Address
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Business Type
Contractor/Vendor Information
Legal Name
Alias or Trade Name
Primary Business Address
City
Primary Business Address
State
Primary Business Address
Zip
Primary Business Address
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Oklahoma Class I Permit Information
Land Ownership or Lease Information
Legal Status of Facility and Land
Trust Property
Yes
No
Fee
Yes
No
Name
Title
Signature
Date
-
Month
-
Day
Year
Date
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