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Application & Permit to Use Explosives

  1. Will the blasting operation utilize any prohibited explosives as listed in Virginia Construction Code, National Fire Prevention Code and the Statewide Fire Prevention Code?*
  2. Which type of air blast and ground vibration monitoring will apply to the blasting operation?*
  3. Will blasting operations and procedures be conducted in compliance with Virginia Construction Code, National fire Prevention Code and the Virginia Statewide Fire Prevention Code including any addendums applicable at the issuance of this permit?*
  4. Electronic Signature Agreement
    *By typing your name, you are certifying that you have read and agree with the following statement in its entirety. I agree that my typed name on this document is the legally binding equivalent to my handwritten signature. I will not, at any time in the future, repudiate the meaning of this signature or claim that this signature is not legally binding.
  5. This permit becomes valid when signed by the local fire official and a valid permit number is assigned.

    Signature of Fire Marshal & Date:



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  8. This field is not part of the form submission.