City of Olathe Fire Department - Explosive Site Inspection - duplicate

• Conducted on

  Date
• Location
  Address

• Explosive Contractor

• Office Number:

• 24/7 Emergency Contact Phone Number

Storage

• Daily Deliveries

  Yes

  No

  N/A

• Overnight Storage

  Yes

  No

  N/A

• Amount and type of product being stored overnight.

• Exact location of storage.

The reason for Blast/Explosive permit request?

• New Construction/development

• Water Lines

• Sewer Lines

• Other:

• Project Name:

• Project Address:

• I certify that I have read and understand the City of Olathe Technical Specifications and Standard Details, Section 6100
  www.olatheks.org/PublicWorks/Specs , Section 6100

• Agent's Name:

  Sign

• Inspector's Name

  Sign

• Site is

  Select Approved Disapproved

  • Approved
  • Disapproved