ࡱ> 130y ebjbj 7{{i 8$Z\\\\\\$MK^3RlZZh,BKzJ(F0rL`0"( : Recreational Fire Authorization Form        Step 1: Complete the following information. Location: __________________________________________________________________ Date: ______________________ Time:______________ to __________________ Purpose: ___________________________________________________________ Type of Fuel: ____________________ Quantity: _________________________ Responsible Organization: _____________________________________________ Responsible Individuals (two required): 1) Name: _________________________________________ Campus Address: _________________________________ Phone: ____________________ 2) Name: _________________________________________ Campus Address: _________________________________ Phone: ____________________ Note: Individuals named on this form must attend the fire/burning and assume full responsibility for controlling and extinguishing all fire. Permits are issued on the condition that equipment be on hand to control and/or extinguish all fire when necessary. The following are required as a minimum: 1) Garden hose or other water source capable of controlling the fire; 2) Shovel; and 3) 2-5 gallon size bucket. It is the responsibility of the undersigned to assure all flames and embers are extinguished prior to vacating the area, and to abide by any additional requirements set by the Moscow Fire Department and the City of Moscow, and for locations outside of Moscow, the requirements of that jurisdiction. _______________________________________________ ______________________ Signature Date Step 2: Obtain approval from Environmental Health and Safety (1108 West Sixth Street) or for locations outside of Moscow, the senior administrator for the location. Approved: _____________________________________ Date: __________________ Step 3: Moscow only: Obtain a burning permit from the Moscow Fire Department. This form must be taken to the Moscow Fire Department (Station #3, 229 Pintail Lane) to secure a burning permit. For locations outside of Moscow, check with the local jurisdiction. 9:>?AB`aefijlmoprsvA Ķvkv]K#h ihF5CJOJQJ^JaJhFCJOJQJ^JaJhF5OJQJ^JhFhF5OJQJ^Jh6Q)jh6Q)Ujh)=UmHnHtHuhT[hFh iCJOJQJ^JaJh iCJOJQJ^JaJ2jh)=CJOJQJU^JaJmHnHtHu h i5CJOJQJ\^JaJ h%5CJOJQJ\^JaJ%9;<=>?@ABCDEFGHIJKLMNOPQRS 7$8$H$gd i $7$8$H$a$gdz_STUVWXYZ[\]^_`bcdeghiklnoqrtugdFuv9 :    9 : o $ @ A l 7$8$H$`gdF 7$8$H$gdF 2 3 C D   ghi XYZcqxz`abcdeдаа}oаkh6Q)h+CJOJQJ^JaJhz_5OJQJ^Jh+5OJQJ^JhY`5OJQJ^JhFhF5OJQJ^Jh)=hFhY`CJOJQJ^JaJh`CJOJQJ^JaJhFCJOJQJ^JaJ#h ihF5CJOJQJ^JaJh`5CJOJQJ^JaJ"l m  QhiYZabcdegdF 7$8$H$`gdF 7$8$H$gdF501h:p i/ =!"#$% ^ 666666666vvvvvvvvv666666>6666666666666666666666666666666666666666666666666hH6666666666666666666666666666666666666666666666666666666666666666662 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~_HmH nH sH tH @`@ )=NormalCJ_HaJmH sH tH DA`D Default Paragraph FontRiR 0 Table Normal4 l4a (k ( 0No List H@H % Balloon TextCJOJQJ^JaJ44 F0Header H$66 F0 Header CharCJaJ4 "4 F0Footer H$616 F0 Footer CharCJaJPK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭V$ !)O^rC$y@/yH*񄴽)޵߻UDb`}"qۋJחX^)I`nEp)liV[]1M<OP6r=zgbIguSebORD۫qu gZo~ٺlAplxpT0+[}`jzAV2Fi@qv֬5\|ʜ̭NleXdsjcs7f W+Ն7`g ȘJj|h(KD- dXiJ؇(x$( :;˹! I_TS 1?E??ZBΪmU/?~xY'y5g&΋/ɋ>GMGeD3Vq%'#q$8K)fw9:ĵ x}rxwr:\TZaG*y8IjbRc|XŻǿI u3KGnD1NIBs RuK>V.EL+M2#'fi ~V vl{u8zH *:(W☕ ~JTe\O*tHGHY}KNP*ݾ˦TѼ9/#A7qZ$*c?qUnwN%Oi4 =3N)cbJ uV4(Tn 7_?m-ٛ{UBwznʜ"Z xJZp; {/<P;,)''KQk5qpN8KGbe Sd̛\17 pa>SR! 3K4'+rzQ TTIIvt]Kc⫲K#v5+|D~O@%\w_nN[L9KqgVhn R!y+Un;*&/HrT >>\ t=.Tġ S; Z~!P9giCڧ!# B,;X=ۻ,I2UWV9$lk=Aj;{AP79|s*Y;̠[MCۿhf]o{oY=1kyVV5E8Vk+֜\80X4D)!!?*|fv u"xA@T_q64)kڬuV7 t '%;i9s9x,ڎ-45xd8?ǘd/Y|t &LILJ`& -Gt/PK! ѐ'theme/theme/_rels/themeManager.xml.relsM 0wooӺ&݈Э5 6?$Q ,.aic21h:qm@RN;d`o7gK(M&$R(.1r'JЊT8V"AȻHu}|$b{P8g/]QAsم(#L[PK-![Content_Types].xmlPK-!֧6 0_rels/.relsPK-!kytheme/theme/themeManager.xmlPK-!0C)theme/theme/theme1.xmlPK-! ѐ' theme/theme/_rels/themeManager.xml.relsPK] ee  e Sul e L# @t(  h  # C"? h  # C"? \   3"? B S  ?9`ee($&t($t($ t%%3f/88f9*urn:schemas-microsoft-com:office:smarttagsplace=*urn:schemas-microsoft-com:office:smarttags PlaceName=*urn:schemas-microsoft-com:office:smarttags PlaceType ,iikllnoqrtvcfhivbcfv23CD fhivbcfl6Q)@G*)=FEbO iYo|%+Y``z_BT[ik@e@UnknownG*Ax Times New Roman5Symbol3. *Cx ArialMTimesNewRoman,BoldCTimesNewRoman5. .[`)TahomaA$BCambria Math"1hrGrG_FZZ!0hh2HX  ?2!xx Open Burning Authorization Formmoulman Parsons, RyanOh+'0d    , 8DLT\ Open Burning Authorization FormmoulmanNormalParsons, Ryan2Microsoft Office Word@@:;@(Kz@(KzZ՜.+,0 hp|  UIh  Open Burning Authorization Form Title !"#$%&')*+,-./2Root Entry F `Kz41TableWordDocument7SummaryInformation( DocumentSummaryInformation8(CompObjr  F Microsoft Word 97-2003 Document MSWordDocWord.Document.89q