HomeMy WebLinkAbout130 BERNARDINSPECTIONS BAKERSFItLD FIRE-DEPT:'-
R E CACCTv INSPECTIONS +'�
HAZARDOUS CONDITIONS PERMIT APPLICATION
[PERMIT: #AT, - 0 575-2
PREVENTION SERVICES
E R;S F IUD
1501 Truxtun Ave. -
T I
Iff CA;JRr T N T Bakersfield, CA 93301
V Tel: (661)326-3979
Fax: (661)852-217-1-----
Page 1 of I
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In conformity with provisions of pertinent ordinances, codes andlor regulations, application is made by:
IS E0 - S-rA 130 B62WO-0
Name of Company Address I City, State, Zip
-1YQ%j6e ANNMS ctw-WA COST-4 ext-le, 3 Z2 - 4o36
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 9ssued on 1 1 /30 ( el By:
enied Date
Authorized Ithre of
Company Requesting Inspection
%A—
Inspecting Officer/Fire Marshal
FD 2039 White Copy to File Card Copy to Permittee for Display
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ALL OTHERYERMITS, (See attachments)
LOCATION OF INSTALLATION:
S ra 4 130
12
EVENT DATE & PURPOSE:
SET UP:
TAKE DOWN:
READY FOR INSPECTION:
AFTER HOURS I WEEKENDS
3v /�
NUMBER OF3;Wdo"
SIZE:
140
NUMBER OF TENTS:
SIZE:
PYRO TECH NAME:
PYRO TECH PHONE #:
I
PYRO LIC #1
A PERMIT WAS 9ssued on 1 1 /30 ( el By:
enied Date
Authorized Ithre of
Company Requesting Inspection
%A—
Inspecting Officer/Fire Marshal
FD 2039 White Copy to File Card Copy to Permittee for Display
1111111
Jill
12
A PERMIT WAS 9ssued on 1 1 /30 ( el By:
enied Date
Authorized Ithre of
Company Requesting Inspection
%A—
Inspecting Officer/Fire Marshal
FD 2039 White Copy to File Card Copy to Permittee for Display