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HomeMy WebLinkAboutB09-0267 CF SOIUCalifornia Department of Forestry and Fire Protection Butte County Fire Department Fire Prevention Bureau - Fire Marshal 176 Nelson Avenue, Oroville CA 95965 (530) 538-7888 Office, (530) 538-2105 Fax GENERAL STORAGE AND USE OWNER'S STATEMENT OF INTENDED USE eference Number: B09-0267 Date: 3/2/2009 ocation: 2374 MONTGOMERY ST By: KEJ arcel Number: 012-041-006 Sub Type: Public Rec Bldg 1wner Name: COUNTY OF BUTTE, Phone: (530) 538-7232 Hazardous material storage or use ❑ FUTM Co. G lescri p tion: NEW ELEVATOR, ELEC UPGRADE, BA TO ADA Tenant: SE�..vrc�s� 1�EwAG15 7t Please check the appropriate box below, sign and return this form to the Butte County Fire Department at the address listed above. If you have questions, please contact us at (530) 538 -6837 -Ext. 166. If additional fire protection features are required, you will be notified in writing. [ ] This building will not be used for one or more of the hazardous operations, processes or storage listed below. [ VJ This building will be used for one or more of the hazardous operations, processes or storage listed M Signature below. A fire department permit may be required. ❑ Aerosol storage and/or retail display ❑ Combustible fiber storage or handling ❑combustible liquid storage or use ❑ Compressed gases storage or use ❑ Cryogenic fluid storage or use ❑ Explosives/blasting agent storage ❑ Gunpowder/primers storage or display ❑ Fiberglass operations ❑ Flammable liquid storage or use ❑ Hazardous material storage or use ❑ Motor vehicle repair operations ❑ Spray finishing/dip coating ❑ Welding/Cutting ❑ Woodworking [ ] This building is a speculation building without a tenant at this time. The owner will notify the tenant that there may be special fire department requirements for one or more of the hazardous operations, processes or storage listed above, and will be advised to contact the fire department for permits prior to occupancy. M Signature O l L 3 2 /�✓ 2H� �GE`iQ7°2— 4 �T 1`�v y! ry we N 7h5 rZo��C-r S �E�iv� yov !v£k Y