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Open Flame/Pyrotechnics Permit Request
Applicant Name
*
Applicant Phone Number
*
Applicant Email
*
Applicant Title
Show Title
*
Show Dates
*
Total number of shows
*
Building Number
*
If you don't know your building number,
use this search tool
to find it. Otherwise, enter "NA" if not applicable.
Building Name
*
Building Address
*
Effects Information
*
Please describe Effect Number, Type of Effect, Anticipated Duration, and Ingredients of the Open Flame / Pyrotechnics Effects.
University of Arizona Contact (Employee)
Contact Name
*
Contact Email
*
Contact Phone Number
*
Contact Department
*
Production Stage Manager
*
Production Stage Manager and applicant have reviewed this information, which is an accurate description of the open flame/pyrotechnic effects intended for this production.
Technical Director
*
Technical Director has reviewed this information and approved the use of these effects.
Costume Shop Manager
*
Costume Shop Manager has reviewed this information and can provide appropriate flame-retardant treatment of the costumes.
Related Files
Files must be less than
2 MB
.
Allowed file types:
gif jpg jpeg png pdf doc docx xls xlsx
.
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