Event Permits

APPLICANT NAME*

(Person/Company taking out permit)

REPRESENTATIVE (YOUR NAME)*

First Last

PHONE*

EMAIL*

ADDRESS*

Street Address City State / Province / Region ZIP / Postal Code

NAME OF EVENT*

START DATE OF EVENT*

END DATE OF EVENT*

DESCRIPTION OF EVENT/ACTIVITY*

What kind of permit you are applying i.e., open flame (includes cooking, hotworks, public assembly, etc.)

WILL THERE BE ALCOHOLIC BEVERAGES CONSUMED OR SOLD AT THIS EVENT?*

YES
NO

BUILDING OR AREA WHERE EVENT WILL OCCUR*

EXPO CENTER
FIELD HOUSE

ON-SITE CONTACT PERSON*

First Last

ON-SITE CONTACT PHONE*

ESTIMATED NUMBER OF VENDORS INSIDE*

ESTIMATED NUMBER OF VENDORS OUTSIDE*

ESTIMATED DAILY ATTENDANCE*

DATE INSPECTION REQUESTED*

TIME INSPECTION REQUESTED*

Please note that you are choosing an inspection time for the inspector to be available. If the inspection is not ready or vendors are not onsite, a reinspection fee of $65 will be assessed prior to the event being approved.

:

EMS ONSITE MAY BE A REQUIREMENT BASED ON DAILY ATTENDANCE OR NATURE OF EVENT.

Permit Type*

Total

$0.00

Method of Payment*

Credit Card
Check (Must be received within 3 days)

Credit Card

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

Billing Address*

Street Address City State / Province / Region ZIP / Postal Code

IMPORTANT

To signify that you have read and agree to follow all of the requirements, please place a check mark next to each requirement below.

SIGNATURE*

By filling out my name here, I herby agree that I have read, understand and will abide by the above listed requirements.

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Expo Center Fire & Life Safety Permit Application

IMPORTANT

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