X x a x x a 00x combustible liquid

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Unformatted text preview: on must include copies of: a. b. c. d. e. Licenses Insurance Certificate Site Plan Product List – amount, type of devices/material and location of product on site. Material Safety Data Sheets 3. Schedule a demonstration inspection with the Fire Department. All Pyrotechnic Displays have to be approved by the City Commission. 3 !! 6 ! LC " 3 ( !! ) 3 - ! 3 == ' ? ' L C 3 == %' * ' " ! ' 00 ' " B " )LC + "3 3 === 3 == ' ( ( 3 " ) FIRE AND LIFE SAFETY PROGRAM ADDITIONAL INFORMATION FOR FIREWORKS DISCHARGE PERMIT Date of Application: Date(s) of Discharge: _______________________ _____________________ Time(s) of Discharge: _____________________ Location of Proposed Discharge: _______________________________________________________ Name of Pyrotechnic Operator: __________________________ Home Address: Date of Birth: ___________________ ____________________________________________________________________ (Street Number and Name, City, State, and Zip Code) Years of Experience: ____ No. of Discharges: ____ Where: ________________________________ List all Assistants: Name: _________________________________________________________________ Age: _____ Address: __________________________________________________________________________ (Street Number and Name, City, State, and Zip Code) Name: _________________________________________________________________ Age: _____ Address: __________________________________________________________________________ (Street Number and Name, City, State, and Zip Code) Local Agent of Record: Name and Title: _____________________________________________________________________ Company: _________________________________________________________________________ Address: __________________________________________________________________________ (Street Number and Name, City, State, and Zip Code) Number and kinds of fireworks to be discharged: __________________________________________________________________________________ ___________________________________...
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This note was uploaded on 04/06/2014 for the course MOS 5101 taught by Professor Dr.baumgardner during the Fall '13 term at Columbia Southern University, Orange Beach.

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