Required fields are marked with asterisks (*)

Display Fireworks Permit Application

Applicant must be the person supervising the fireworks.

Please note, display fireworks permits are subject to a fee of $170. Fire Prevention will contact applicants for any additional information and to arrange payment.

Name of Applicant (Fireworks Supervisor):

Applicant Address (Including Postal Code):

Telephone Number:

Supervisor Certification Number:

Certification Expiry Date:

Sponsoring Organization:

Organization Contact Name:

Organization Telephone:

Location of Fireworks Display:

Please enter the month, day and year of the expected fireworks display:

The fireworks display is expected to start at:

The fireworks display is expected to end at:

Your application will not be processed without the submission of the following documents.

Please note the files must be either a: pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png or tif and the file size must be under 2MB.

Attach Application to Purchase:

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