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Fire Services Permit Application <br />CENTENNIAL FIRE DISTRICT <br />Station 1 – 2 East Road, Circle Pines, MN 55014|Station 3 – 1880 Main Street, Centerville, MN 55038 <br />Main:651-792-7900 |Inspections/Permits:651-792-7905 |Public Education:651-792-7903 <br />FIRE SERVICES PERMIT APPLICATION INFORMATION <br />APPLICANT <br />BUSINESS OR ORGANIZATIONNAME(if applicable) <br />PHONE <br />APPLICANTNAME( Owner Contractor Representative Other ) <br />ON SITE REPRESENATIVE (if different thanapplicant)PHONE <br />ADDRESSCITYSTATEZIP <br />EMAIL ADDRESS <br />EVENT INFORMATION <br />EVENT NAME(if applicable) <br />ADDRESS/LOCATION OF EVENT <br />EVENT START TIME & DATEEVENT END TIME & DATE <br />APPROXIMATE SET UP TIME <br />PERMIT INFORMATION <br />check all that apply(additional local permits may be required) <br /> Facility Usage Open Flame or Candles in Assembly <br /> Bonfire(outside of city ordinance hours) Pyrotechnical Effects <br /> Controlled Burn Temporary LP Usage <br /> Exhibits & Trade Shows Tent & Other Membrane Structure <br /> Outdoor Fireworks Display Plan Review <br /> Fire Department Staffing Request Public Education Event <br /> EMT Staffing Request Public OutdoorEvent <br /> Fire Department Open HouseRequest Fundraiser <br /> Demolition and Deconstruction Food Truck <br /> Other (please describe) <br /> <br />