Permit Request • CampusOptics

Requester Info

Email Address* Required

Phone Number* Required

First Name* Required

Last Name* Required

Start Date* Required

Start Time* Required

Expiration Date* Required

Expiration Time* Required

Fire Watch Start Date* Required

Fire Watch Start Time* Required

Fire Watch End Date* Required

Fire Watch End Time* Required

Name* Required

Additional Location Details

Department of Requestor* Required

Other Department* Required

Work Order Number* Required

Person(s) Performing Hot Work* Required

Person(s) Performing Fire Watch* Required

Have person(s) performing hot work completed UTA Hot Work/Fire Extinguisher Training within the last year?* Required

Contact Number* Required

Type of Work to be Performed* Required

Description of Work to be Performed* Required

Person(s) performing Hot Work-Signature* Required

Person(s) Performing Fire Watch-Signature* Required

Special conditions or other additional comments* Required

Add files to upload as supporting documentation along with your permit request.

Files