FAP Form

Date/Time

SECTION 1: TO BE COMPLETED BY APPLICANT

Your Name:
Email Address:
Phone Number (Cell):
Company:
Project Name:

Modification Expansion NEW
1. Location of Work:
2. Description of work (a drawing or sketch may be provided):
3a. Is there an environmental impact to doing this work (positive or negative)? Describe.
3b. Is there an accessibility impact to doing this work (positive or negative? Describe.
4. Estimated value of work:
5. Proposed start date:
6. Proposed funding of work (check one):	Proponent YLW GL Account Code:
7. Provide contact information of outside contractor:
Business Name:
Contact Name:
Phone (o):
Phone (c):
Email Address:
Comments:

SECTION 2: REVIEW AND APPROVAL - OFFICE USE ONLY

Application Review:

Name:
Date:
Department:
Comments:

Name:
Date:
Department:
Comments:

Name:
Date:
Department:
Comments:

Name:
Date:
Department:
Comments:

Name:
Date:
Department:
Comments:

Name:
Date:
Department:
Comments:

Application Review - Airport Corporate Services:

Lease or sub-lease amendments required:	Yes No
Kelowna City Council approval required:	Yes No
Government of Canada consent required:	Yes No
Comments:
Name:
Date:

Application Review - Airport Development:

Comments:
Shutdown Permit:	Yes No
Hot Work Permit:	Yes No
Airside Escort:	Yes no
Operations Resource:	Yes No
Development Resource:	Yes No
APPROVED DENIED
Final Inspection Required:	Yes No
Approver Name & Title:
Date:

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