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NC State University Hot Work Permit
Fire and Life Safety 919-515-2568
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* Indicates required question
Building Name
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Your answer
Building Address
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Your answer
Room and area of Hot Work
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Your answer
Type of Hot Work
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Choose
Welding (1 day permit) - F/A Disconnect Required
Long Term Welding (requires permanent work station for duration of project) - F/A Disconnect Required
Brazing
Soldering
Grinding
Sweating Pipe
Other torch work
Other Hot work including cooking
1-Hour Post Welding Notification is required to 919-515-2568. Ensure work is cool to the touch before leaving the area.
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Permit holder acknowledges this requirement.
Permit holder acknowledges any damage incurred by the hot work that is not monitored after the work is completed will be the permit holder's responsibility.
Required
Responsible Person Name and Phone Number
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Your answer
Responsible person email address
Your answer
NC State Project Manager or Work Requestor
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Your answer
Expected timeframe and duration of work
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Your answer
Date of Permit
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MM
/
DD
/
YYYY
Permit Expiration Date
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MM
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DD
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YYYY
Permit Issued By
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Vacant 919-###-####
Kassandra Kreplak 919-210-6370
William Stanfield 919-625-6268
John Stauffer 919-625-6451
Jon Brann 919-669-7325
Paul Witmer 919-515-2568
Chris Newell 919-515-2568
Andrew Uy 919-210-0955
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