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1 • Public liability insurance narning City .oaf Centerville and other public agencies- <br /> additionally insured is required. <br /> 2. Hold harmless forms executed and failed. <br /> 3. List and approve /disapprove other - insurance coverage as may be - required. <br /> 5. FIRE DEPARTMENT <br /> Approved by: <br /> Signature Title <br /> Date: <br /> 1 • Emergency vehicle access. <br /> 2. Use of fireworks, pyrotechnics, vehicle fuel, open flame. <br /> 3. Cooking facilities. <br /> 4. Occupancy and spacing of tables, enclosures. <br /> 5. Parade, floats. <br /> 6. Tents, air supported structures, canopies. <br /> T Other provis-ions as my be required- by this department:- <br /> 6. BUILDING DEPARTMENT <br /> Approved by: <br /> Signature Title <br /> Date: <br /> Electrical: <br /> 1. Plan cheek /inspe -ti-on of any wiring installed an a temporary or permit basis. <br /> 2. Permit(s) attached. <br /> Structural Flan: <br /> 1. Plan check/inspection of any temporary or permanent structures, including <br /> bleachers -, scaffolding, grandstand, reviewing stands, stages-, or platforms <br /> 2. Permit(s) attached. <br /> 3. Other provisions as may be required by this department: <br /> Page 8 of 10 <br /> 20 <br />