HomeMy WebLinkAbout25 44th Ave NE Fumigation PermitCITY OF FRIDLEY FIRE DEPARTMENT
Minnesota State Fire Code
Office of the Fire Marshal
6431 University Avenue, N.E.
Business Operations Permit
Fridley, Minnesota 55432
Telephone: (763) 572 -3621 or (763) 572 -3612
Application
Facsimile: (763) 572 -8825
(Temporary Activity)
Requested Permit Operation, Process or Activity:
Fumigation
Business Name (Site of Proposed Permit Activity):
General Mills
Site Address, City, State and Zip:
Site Contact Person and Telephone:
25 44"' Ave NE Fridley MN
Cory Dukowitz 763 - 764 -3667
Contractor Name & Address:
Industrial FumigantCompany
220 University Drive
Waseca MN 56093
Contractor Telephone:
Facsimile Telephone:
On - Site Activity Telephone:
612 - 396 -5504
507- 833 -4512
(For Fire Dqmwbvmd Use OidI)
State Contractor License # or
Permit Fee (see reverse side for fee schedule):
ERC ID # (Hazardous Materials, if applicable):
$95.00
Dates of Requested Permit Operations, Processes or Activities:
12 -28 -12 to 12 -30-12
Permit, if granted, is subject to compliance with applicable codes, ordinances and regulations governing the
above - described operations. Permit is non - assignable and shall be maintained in the place of business or site for
which this permit is granted. It shall be the responsibility of the permittee to contact the Fire Marshars Office for
final inspection of the permitted activity prior to initiation of the permitted activity.
Special stipulations or requirements, if any, shall be listed in a Business Operations or Activities Permit Review
included with the permit.
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Date Permit Applicant
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