Fireworks Permit Application - Wake County Government

Section IIIDISPLAY INFORMATION: (Note: Indicate who provided this information:)Applicant: __________ Technician: __________ Both: __________Indicate the type of display event:Carnival: __________ Exhibition: __________ Fair: __________Public Celebration: __________ Other: __________Proposed day and time of the event: ___________________________________________________Day: ______________________________ Time: _________________________ AM / PMProposed location or site:_________________________________________________________Specify the type and quantity of the fireworks/pyrotechnics to be used and the sequence of thedischarge/shooting:________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Estimated duration of the display:____________________________________________________Specify any safety precautions to be taken: _________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Specify how fallout area will be inspected for unexploded or live components (This inspectionshall be conducted prior to any public access): ___________________________________________________________________________________________________________________________________________________________________________________________________________________9512WFP1