HomeMy WebLinkAboutHAZ-PERMIT APPL. 3/28/2012INSPECTIONS
FIRE SAFETY INSPECTIONS)
HAZARDOUS CONDITIONS PERMIT APPLICATION L
PERMIT:
IE R S F I E D
FIRE
ASR TMM T
BAKERSFIELD FIRE DEPT.
PREVENTION SERVICES
1501 Truxtun Ave.
Bakersfield, CA 93301
Tel: (661) 326 -3979
Fax: (661) 852 -2171
Page 1 of 1
In conformity with provisions ofpertinent ordinances, codes and/or regulations, application is made by:
Name of Company Address City, State, Zip
Contact Name Phone No. Cell No.
To display, store, install, use, operate, sell or handle materials or processes involving or creating
conditions deemed hazardous to life or property as follows:
A PERMIT WAS CYlssued on 3
0 Denied Date
X
1 Authorized Representative of
Company Reque ting Inspection
By.
Inspecting Officer /Fire Marshal
FD 2039 White Copy to File Card Copy to Permittee for Display
TENTS
ALL OTHER PERMITS See attachments
LOCATION OF INSTALLATION:
EVENT DATE & PURPOSE:
SET UP: TAKE DOWN: READY FOR INSPECTION:
AFTER HOURS / WEEKENDS
3 -aS 3PA4
NUMBER OF TENTS: SIZE: NUMBER OF TENTS: SIZE:
l pycC4 0 020 c3C
PYRO TECH NAME: PYRO TECH PHONE #: PYRO LIC #/
A PERMIT WAS CYlssued on 3
0 Denied Date
X
1 Authorized Representative of
Company Reque ting Inspection
By.
Inspecting Officer /Fire Marshal
FD 2039 White Copy to File Card Copy to Permittee for Display