Permit Request • CampusOptics

This permit is issued for all operations involving open flames. THE TEXAS A&M VICTORIA FIRE MARSHAL's OFFICE (361-570-4245) SHALL BE NOTIFIED OF ANY CHANGES IF THE EVENT IS RESCHEDULED OR CANCELLED.

Requester

Email Address* Required

Phone Number* Required

First Name* Required

Last Name* Required

Permit Date & Time

Start Date* Required

Start Time* Required

Expiration Date* Required

Expiration Time* Required

Location

Campus, Building, or Outdoor Area* Required

Additional Location Details

Event Information

Location of Event at TEXAS A&M VICTORIA* Required

Name of Event* Required

Organization Name* Required

Responsible Party Name* Required

Responsible Party Phone #* Required

Device Information

Type of Open Flame Device* Required

Attention For TEXAS A&M VICTORIA requestors * Required

TEXAS A&M VICTORIA - Know the location of nearest fire extinguisher.* Required

I Understand:

TEXAS A&M VICTORIA FACILITIES MANAGEMENT FIRE EXTINGUISHERS MUST BE RETURNED AFTER THE EVENT IS OVER OR THE FOLLOWING BUSINESS DAY.* Required

IF PERMIT INVOLVES COOKING, ALL ADJACENT AREAS TO WHICH SPARKS OR HEAT MIGHT SPREAD MUST BE INSPECTED AT LEAST 30 MINUTES AFTER THE EVENT IS OVER.* Required

IN THE EVENT OF A FIRE OR OTHER EMERGENCY, DIAL 911 * Required

PERMIT MUST BE POSTED ON-SITE OR REMAIN AT THE LOCATION WITH A RESPONSIBLE PARTY DURING THE TIME OF THE EVENT* Required

Closing Notes

I have read and understand the above information and agree to abide by the requirements of this document and the TEXAS A&M VICTORIA Fire Marshal’s Office Open Flame Procedure. I further understand that all Open Flame use is subject to inspection and possible corrective action. I understand this permit shall be displayed at the job site.* Required

Add Supporting Documents

Add files to upload as supporting documentation along with your permit request.

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