Special Permit

Request for Special Permit
In order for special permit requests to be handled in a timely manner, all information must be filled out and submitted at least 15 days prior to the event.

Type of permit: Fireworks Open Flame Burn Smoke Generator Other

Requestor Information

Name:
Address:
City, ST Zip:	,
Business Phone:	Cell Phone:
E-Mail:

Event Information

Name of Event:
Date(s):
Start Time:
End Time:
Location:

	Briefly Describe your event and what you would like to do, along with any special needs:



	Fees:
	Fire Watch - $25.00 per hour
	Fire Alarm Deactivation - $100.00

	All Permits will be processed on a first come first served basis.