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Indicate below all items that will be used, stored, manufactured and/or conducted within the building or <br /> addition. <br /> 1. Sell Tobacco <br /> 2. Sell Liquor <br /> 3. Automobile Wrecking Yard <br /> 4. Battery Systems. Install or operate stationary lead-acid battery system. <br /> 5. Candle and open flames in assembly areas. (Assembly areas, dining areas of restaurants <br /> or drinking establishments). <br /> 6. Cellulose nitrate and cellulose nitrate film storage. <br /> 7. Combustible Material Storage. Storage of combustible empty packing cases, boxes barrels <br /> or similar containers, or rubber or cork, or similarly combustible materials. <br /> 8. Compressed Gases. Provide list of materials and approximate quantities on site. <br /> 9. Commercial rubbish-handling operations. <br /> 10. Cryogenics. Provide list of cryogenic materials and approximate quantities to be on site. <br /> 11. Dry Cleaning Plant. Provide list of chemicals and approximate quantities on site. <br /> 12. Dust producing operations. <br /> 13. Explosives or blasting agents. Provide list of materials and approximate quantities on site. <br /> 14. Fireworks. <br /> 15. Flammable or combustible liquids. Provide list of materials and quantities on site. <br /> 16. Hazardous materials. Provide list of materials and approximate quantities on site. <br /> 17. High-piled combustible storage. Piled and/or rack storage exceeding 12 feet in height. <br /> 18. LP Gas. Storage, use handling and/or dispensing. <br /> 19. Liquid-or gas-fueled vehicles or equipment in assembly buildings. <br /> • 20. Lumber yards. <br /> 21. Magnesium working. Melt, cast, heat treat or grind magnesium. <br /> 22. Motor vehicle fuel dispensing stations. <br /> 23. Organic coatings. <br /> 24. Ovens, industrial baking or drying. <br /> 25. Pyrotechnical special affects materials. <br /> 26. Radioactive materials. Provide list of material and approximate quantities on site. <br /> 27. Refrigeration equipment. <br /> 28. Repair garages. <br /> 29. Spray finishing or dipping operations. <br /> 30. Temporary membrane structures, tents and canopies. <br /> 31. Tire storage <br /> 32. Wood products. Provide list of materials and approximate quantities on site. <br /> 33. Temporary membrane structures, tents and canopies. <br /> Responsible Party Signature <br /> Print Name Date <br /> For Internal Use only: <br /> Approved/Denied by: Paid: <br /> • (circle one) <br />