Permit Request • CampusOptics

This permit is issued for all operations that require the Fire Protection System (FIRE ALARM OR FIRE SPRINKLER) to be shut down. All work shall be between the hours of 7:00 AM and 3:00 PM unless otherwise noted and authorized. Fire Watch shall be in place in all locations affected.

THE TEXAS A&M VICTORIA FIRE MARSHAL (361-570-4245) SHALL BE NOTIFIED OF ANY CHANGES TO WORK THAT IS RESCHEDULED, CANCELED, OR IF WORK COMPLETED EARLY.

Requester Info

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

Name* Required

Additional Location Details

Project Information

Project Manager* Required

Work Request Number* Required

Worksite Information

Is work being performed on weekends or after hours?* Required

Floor Number* Required

Room Number(s)* Required

System Impaired

Fire Alarm* Required

Fire Pump* Required

Fixed Fire System* Required

Sprinkler* Required

Water Supply* Required

Other* Required

Closing Notes

I have read and understand the above information and agree to abide by the requirements of this document, The applicable NFPA Codes and the Fire Marshal’s Office standards. I further understand that all operations are subject to inspection and possible corrective action. I understand this permit shall be displayed at the job site.* Required

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

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