Laserfiche WebLink
<br />Apr 24 09 08:31a <br /> <br />Catherine Branch <br /> <br />703-323-4964 <br /> <br />p.8 <br />I <br /> <br />1. _ Public liability insurance naming City of Centerville and other public agertcies <br />additionally insured is required. I <br />2. _ Hold harmless forms executed and failed. , <br />3. _ List and approve/disapprove other insurance coverage as may be required~ <br />, <br /> <br />5. <br /> <br />FIREDEPAR~ <br /> <br />Approved by: .-9 ~.. rL <br />Signature <br /> <br />,L;;., .J:."-''''r~_ <br />Title <br /> <br />Date: $.-',J.'J -() '9 <br /> <br />1. -== Emergency vehicle access. <br />2. -=- Use offrreworks, pyrotechnics, vehicle fuel, open flame. <br />3. --=- Cookiug facilities. <br />4. ~ Occupancy and spacing of tables, enclosures. <br />5. ~ Parade, floats. <br />6. --.-::::.. Tents, air supported srr~ctures, 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 check/inspection of any wiring installed on a temporary or permit baSis. <br />2. _ Permit(s) attached. I <br /> <br />Structural Plan: <br /> <br />I. Plan check/inspection of any temporary or permanent structUres, includin~ <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 />