HomeMy WebLinkAboutHAZ-PERMIT APPL. 12/4/2007~J 3715 BURR ST ----
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RIVER RUN RV PARK
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INSPECTIONS
(FIRE SAFETY INSPECTIONS)
B E R S E I D
F/RE
_~m~ ARTM T
BAKERSFIELD FIRE DEPT.
PREVENTION. SERVICES
900 Truxtun Ave., Ste. 210
- Bakersfield, CA 93301
Tel.: (661) 326-3979 ° ~~~~
HAZARDOUS CONDITIONS PERMIT APPLICATION _ Fax: (661) 852-2171
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PERMIT: # ~'~~, .- O S ~~ ~~~ T,~~ -C ~_ _ ;
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In conformity with provisions of pertinent 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:
TENTS
- ALL OTHER PERMITS See attachments
LOCATION OF INSTALLATION: _
EVENT DATE & PURPOSE:. -
SET UP: TAKE DOWN: READY FOR INSPECTION:
AFTER HOURS /WEEKENDS
NUMBER OF TENTS: SIZE: NUMBER OF TENTS: SIZE:
PYRO TECH NAME: PYRO TECH PHONE #: PYRO LIC #/
X ~'wK:
A PERMIT WAS -Issued on ~?~~ //
D Denied Date. -
Authorized Representative of
1Company Requesting Inspection
By: ~~'~~.'l -
- . Inspecting Officer/Fire Marshal
Fo zoas White Copy to File - Card.Copy to Permittee for Display-