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REQUIRED INFORMATION <br />the following must accompany the permit application form <br />TRADE SHOWS, TENT & OTHER PLAN REVIEWSOUTDOOR FIREWORKS DISPLAY <br />MEMBRANE STRUCTURES AND (hard copies of documents shall be AND PYROTECHNICAL EFFECT <br />delivered or sent to the Centennial Fire <br />TEMPORARY ASSEMBLY PERMITS PERMITS <br />District) <br /> <br />A detailed floor plan showing the <br /> Narrative Describing Project Proof of a bond or certificate of <br />following: <br /> insurance in amount of at least $1.5 <br /> <br />Million minimum <br /> Supporting Documents and <br /> Type of Structure <br /> Certification from Minnesota <br />Specification Sheets <br /> Size of Structure <br /> State Fire Marshal <br /> Means of egress Shop Drawings Type and number of fireworks <br /> to be discharged <br /> Seating arrangements <br /> Structural Engineer stamp of Site Plan/Diagram drawn to <br /> Extinguisher locations <br />approval (if required) scale showing discharge area, <br /> Location and type of heating and <br /> <br />location of buildings, highways, <br />electrical equipment <br />streets, overhead obstructions, <br /> Any Additional Pertinent <br /> Include the location and <br />audience restraint line and any <br />Documentation <br />separation distance of other nearby <br />other pertinent information <br />structures <br /> <br /> <br />The undersigned hereby agrees that all information on this application is true and correct and to comply with all applicable city <br />ordinances, state and federal rules and all orders from The Centennial Fire District. The Fire Marshal may perform an inspection <br />once construction and set up is completed. This review and approval does not relieve the applicant from being compliant with all <br />appropriate federal, state and local jurisdictions and this permit does not take place of any other required state or local permits. <br /> <br /> <br /> <br /> <br /> <br />APPLICANT SIGNATURE ________________________________________________ DATE ___________________ <br /> <br />-----------------------------------Centennial Fire District Internal Use Only------------------------------------- <br /> Proper Documentation Provided Notification to Centennial Lakes Police <br /> Proper Certifications Notification to Fire Chief <br /> Sufficient Timeline Notification to Pertaining City Representative <br /> <br /> <br />FIRE MARSHAL SIGNATURE _____________________________________________ DATE ___________________ <br /> <br />