Information
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Date and time issued?
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Location
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CAD Number
Contact Information
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Contact Name:
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24/7 Emergency Contact Phone Number:
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Company Name & address: (if applicable)
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Office Phone Number:
Burn Information
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Type of Burning
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If event is in a city operated park, a valid special use permit from the Parks and Recreation Department must be attached to this permit. (Parks & Rec, 1 S. 7th St. gentry Building, 573-874-7612).
The permit holder and Ll performers will adhere to Section 319 of the Amended 2012 International Fire Code adopted by the City of Columbia on October 1, 2012.
This permit may be revoked for failure to comply with section 319 (amended) or other applicable sections of the code. -
Was site plan received?
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Time approved (from and to):
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Special Instructions
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Site Inspection Approval
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Permit issued to:
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Fire Inspector:
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Comments: