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Warning Text %XTableStyleMedium9PivotStyleLight16`!@Sheet1bSheet2{dSheet3E /.Date: Department: Applicant's Name: Phone Number:E Code Compliance Manager Signature (Signature Required for Approval):: ( Applicant will be the primary contact for this project) Location(s): Date to be Erected: Date to be Removed: Date(s) of Event:Contracted Tent Provider:+ Required Submittals with this Application: % Permit Approved% % Permit Approved with Restrictions:% Type of Cooking (include Fuel Type): Facilities Planning Use Only% Tent % Canopy (check one) % No: Power Source(s): % Premises (local electric) % Generator % Heating: % Electric % Propane % None This form must be completed and returned to the Code Compliance Manager (Facilities Planning Office) 10 business days prior to the event. Applicant  understands that all arrangements for program support (electrical, stage, tables, labor& ) must be made by the sponsoring organization. Applicant further % Permit Not Required Food/Beverages Served:d Fire Resistance: A certificate or other proof of approval by a testing laboratory is acceptable as * evidence of the required fire resistance. % Permit Not Approved % Yes1Number of Tents/Canopies:  Applicant hereby represents that he/she has made a full and complete disclosure of all information which might be pertinent to the university's consideration of this Application and that all of the above statements and information are true and correct. Applicant further agrees to observe all university polices and=  Event Time: From ________ % AM % PM To________ % AM % PM !" 45 9: Anticipated Occupancy (each):2Size of Tents/Canopies (example - 10 ft x 10 ft): 2Fredonia Tent / Canopy Application and Permit Form After all the above information is provided, submit the completed form to the Office of Facilities Planning, The , Hendrix Hall, Fredonia, New York 14063. Once the permit has been approved all correspondence related to requirements and inspections shall be directed Fax Number: Email: understands that tents must be available for inspection by the Environmental Health & Safety & Sustainability (EH&S&S) Code Coordinator prior to the scheduled event and that the applicant must arrange to have all safety requirements met at the time of inspection. This approved tent / canopy permit must2 also be posted at the tent / canopy location. regulations. See Fredonia Guidelines for the Use of Tents/Canopy online at https://fa.fredonia.edu/facilitiesplanning or https://fa.fredonia.edu/ehss.Pz~ You can also request these guidelines by contacting Facilities Planning at 673-3722 or Environmental Health & Safety & Sustainability (EH&S&S) at 673-3769.\]jkst, to the attention of EH&S&S at 673-3796.2T2 (3Q4 7A9<9 ccNB T8 7%T\3b  dMbP?_*+%&?'?(?)?MRICOH Aficio MP C4500 PCL 5c2 odXXLetter (8.5" x 11")RICOH Aficio MP C4500 PCL 5cLPT1:JADC@ h d''''d o dDefault"4XX&U} 2} } }  } 7  H @                     ;           o#ppppppppq @AAAAAAAAB QRRRR STTTJ QRRRR URRRK QRRRRURRRK VWWWWXWWWL YZZZZ U RRRK Q&RRRRURRRK V'WWWWXWWWL Y  ZZZZ U RRRK Q RRRR U RRRK Q  RRRR U" RRRK Q  RRRRURRRK  VWWWj U! RRRK Q R R kRU R RRK QRRRR URRRK QRRRRURRRK QRRRRXRRRK i ZZZZZZZZM QRRRRRRRRK [RRRRRRRRK \]]]]]]]]D h^^^^^^^^E h^^^^^^^^E h(^^^^^^^^E h)^^^^^^^^E h*^^^^^^^^EI h^^^^^^^^EI h^^^^^^^^EI h^^^^^^^^EI h+^^^^^^^^OI h,^^^^^^^^EI Dbl*@4*@**@@@*4X@*********, ,,, ! 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