Fireworks Permits (Low Hazard): Lamont County

Fireworks Permit (Low Hazard)

LAMONT COUNTY | LOW HAZARD | FIREWORKS PERMIT | (FAMILY/SHOP GOODS)

IMPORTANT: PERMITS ARE NOT APPROVED UNTIL YOU RECEIVE CONFIRMATION FROM LAMONT COUNTY EMERGENCY SERVICES.

Request Date *

Please complete the following application to request approval for fireworks (low hazard).

Permit #

Will be entered by Lamont County Emergency Services upon approval. Please fill out the entire form to request permit.

Pursuant to Article 5.8.1 of the Alberta Fire Code (on approval), Lamont County hereby permits:

Name *

Phone Number *

Email *

Address (contact address) *

To Purchase/Possess/Store low hazard fireworks *

Purchase

Possess

Store

From (Start Date) *

To (End Date) *

To Discharge low hazard fireworks *

Discharge

Date (to be discharged) *

Time of event (when it will be discharged) *

Address (of event or activity location) - if different from contact address

IMPORTANT

The permit holder shall indemnify and save harmless Lamont County, its agents, servants and employees from any and all liabilities, damages, costs, suits or actions arising out of the use of the fireworks for which this permit is valid and any damage to property, real or personal or injury to any person or persons including death resulting therefrom.

This permit may be cancelled or the permit holder may be ordered to cease the discharging, firing, or setting off of fireworks when in the opinion of the Safety Codes Officer or fire department, it is considered necessary to do so for reasons of safety.

The permit holder shall be responsible for ensuring compliance with the requirements of the Alberta Fire Code, including amendments as they may occur from time to time.

DECLARATION *

I am 18 years old or over and have been made aware of the regulations on the reverse side of this permit, and I understand the regulations and information contained herein.

I agree

Confirmed as of Today's Submission Date

Name of Contact *

POPA Acknowledgement

The personal information collected through the Fireworks Permit Application form is for submitting request to obtain a fireworks permit from Lamont County Emergency Services. This collection is authorized by section 4(c) of the Protection of Privacy Act. For questions about the collection of personal information, contact Lamont County Legislative Services at legislativeservices@lamontcounty.ca, or by phone (780) 895-2233.

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Fireworks Permits (Low Hazard)

Fireworks Permit (Low Hazard)

IMPORTANT: PERMITS ARE NOT APPROVED UNTIL YOU RECEIVE CONFIRMATION FROM LAMONT COUNTY EMERGENCY SERVICES.

Permit #

IMPORTANT

POPA Acknowledgement