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<br />I""'"'"--- <br />.' <br /> <br />1. Public liability insurance naming City ofCenterville.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 /> <br />s. FIRE DEPARTMENT <br /> <br />Approved by: <br /> <br />Signature <br /> <br />Title <br /> <br />Date: <br /> <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 />7. Other provisions as my be required by this department: <br /> <br />6. BUILDING DEPARTMENT <br /> <br />Approved by: <br /> <br />Signature <br /> <br />Title <br /> <br />Date: <br /> <br />Electrical: <br /> <br />1. Plan che~k/inspection of any wiring installed on a temporary or permit basis. <br />2. Permit(s) attached. <br /> <br />Structural Plan: <br /> <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 /> <br />Page 8 of 10 <br /> <br />;(3 <br />v'. X <br /> <br />--- ~--- - - ~ ------- <br />