West Hazleton, PA · Luzerne County
Certificate of Preservation of Public Safety Application and Permit
This application and permit form collects contractor and work details for a public safety certificate in West Hazleton.
What this form is
Contractors use this form to apply for a Certificate of Preservation of Public Safety permit for work in West Hazleton. It asks for contractor contact information, the work location and description, and the approximate time needed to complete the work. The form also records whether the $25 permit fee was paid and includes fields for official inspection and permit information.
Who needs it
Contractors seeking a Certificate of Preservation of Public Safety permit for work in West Hazleton need this application.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This document has no notary block; it includes a date field and a Chief of Police signature field, with no sworn attachment or step indicated.
How to submit this form
- 1
Download The Application
Download the Public Safety Application PDF.
- 2
Complete The Form
Enter the contractor's contact information, work location and description, and approximate time to complete the work.
- 3
Check The Fee Information
Indicate whether the $25 permit fee was paid and provide the check number if applicable.
- 4
Submit To The City
Submit the form to the city department named on it; check the city website for current contact details.
Frequently asked questions
- What is the Public Safety Application for?
- It is an application and permit form for a Certificate of Preservation of Public Safety. It collects contractor and work details.
- Who should complete this application?
- Contractors seeking the Certificate of Preservation of Public Safety permit should provide their contact information and details about the work.
- Do I need a notary for the Public Safety Application?
- No. The form has no notary block; it includes a date field and a Chief of Police signature field, and indicates no sworn attachment or step.
- How do I submit the Public Safety Application?
- Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Certificate of Preservation of Public Safety Application and Permit doesn’t need a notary — but if you have another West Hazleton form that does, a commissioned online notary can help.