HomeMy WebLinkAboutApplication for Authorization for Shut Down of Life Property Safety System.pdfMicrosoft Word - Life_Property System shut down Authorization
Safety System Shut down Authorization Form 2010 MAPLE RIDGE FIRE DEPARTMET APPLICATION FOR AUTHORIZATION FOR SHUT DOWN OF LIFE/PROPERTY SAFETY SYSTEM This form is to be forwarded to
Maple Ridge Fire Department BY FAX 604-476-3069 and by email to msmitton@mapleridge.ca Name of Project: ___________________________ Start Date: ___________ Location: ________________________________
_________________ Principal Contractor: ___________________________ Phone # ______________ Project Manager: _______________________ Phone # ______________ Return fax number or email:
____________________________________________ Check off the item(s) that needs to be temporarily shut down Fire Alarm System □ Effective Date: ___________ Duration: ________ Fire Suppression
System □ Effective Date: ___________ Duration: ________ kitchen systems, paint booths etc Sprinkler System □ Effective Date: ___________ Duration: ________ Standpipe System □ Effective
Date: ___________ Duration: ________ Water Supply for Fire Fighting□ Effective Date: ___________ Duration: ________ fire hydrants, fire pumps, water mains Electrical system □ Effective
Date: ___________ Duration: ________ affecting fire alarm systems exit light fire exit lighting Exits □ Effective Date: ___________ Duration: ________ Fire Walls □ Effective Date: ___________
Duration: ________ Fire Department Access □ Effective Date: ___________ Duration: ________ FIRE DEPARTMET USE OLY Authorized by: ____________________________ Date: __________________
Signature: ____________________________ Title: __________________ THIS AUTHORIZATIOTO BE POSTED AT WORK SITE ICOSPICUOUS LOCATIO