Permit Request • CampusOptics

To make a request, please fill out the information below, then select the "Submit Permit Request" button below. All information is required.

You should receive an email containing a link back to your completed request form at the email address you provide. Please print out the completed/approved request form and post it at the work site when you begin your work.

Requester Info

Email Address* Required

Phone Number* Required

First Name* Required

Last Name* Required

Permit Date & Time

Start Date* Required

Start Time* Required

Expiration Date* Required

Expiration Time* Required

Fire Watch Date & Time

Fire Watch Start Date* Required

Fire Watch Start Time* Required

Fire Watch End Date* Required

Fire Watch End Time* Required

Location

Name* Required

Additional Location Details

General Information

Description of Work to be Performed* Required

Equipment to be Used* Required

If "Other", please specify. Otherwise, please write in "N/A".* Required

Fire Alarm System Impairment Required?* Required

Cylinder Storage Required?* Required

Cylinder Storage Location* Required

Fire Watch Log

I understand that I must upload upload a fire watch log sheet to be kept on file with this permit. * Required

Add Supporting Documents

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

Files