Fillable Burnpermit Lake Havasu City Fire Department

Fill Online, Printable, Fillable, Blank Burnpermit Lake Havasu City Fire Department Form

Use Fill to complete blank online LAKE HAVASU CITY (AZ) pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Burnpermit Lake Havasu City Fire Department

On average this form takes 3 minutes to complete

The Burnpermit Lake Havasu City Fire Department form is 1 page long and contains:

  • 0 signatures
  • 0 check-boxes
  • 13 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Lake Havasu City

BROWSE LAKE HAVASU CITY (AZ) FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
FD-201 Updated/CA 9-26-2019
Lake Havasu City Fire Department
Fire Prevention Bureau
2330 McCulloch Blvd. N
Lake Havasu City, AZ 86403
(928) 855-1141 lhcfire@lhcaz.gov
Open Burning Permit
This permit is issued in accordance with the International Fire Code and Arizona Department of Environmental Quality-Air Pollution
Control. Failure to obtain a permit may result in a $500 citation issued for illegal burning.
Burn Location Address:
Applicant:
Phone #:
Person(s) Performing Burn:
Phone #:
Dates Permitted to Burn:
Start:
End:
IN-GROUND WEEDS
BON FIRE
CONTROLLED BURN
(Bon fires and controlled burns must be authorized by Fire Marshal)
REQUIREMENTS
Low wind conditions
Constant supervision while burning
Water under pressure available and accessible
Permit is valid for a maximum 14 calendar days and must be re-issued to extend longer
CALL FIRE DISPATCH AT (928) 855-4111 BEFORE AND AFTER BURNING
Burning shall be conducted during low wind conditions and during daylight hours only. Smoke visibility impairment on traveled roads
or airport to the extent that a safety hazard results, or otherwise creates a public nuisance, and when atmospheric conditions or local
circumstances make such fires hazardous, is prohibited.
Open burning of the following materials is forbidden: scrap lumber, garbage, asphalt shingles, oleanders, tar paper, plastic and rubber
products (such as tires and electrical wire insulation), waste petroleum products (such as waste crankcase oil, transmission oil and oil
filters), or any flammable/combustible hazardous materials or explosives.
This permit shall not be construed to relieve the Applicant from liability resulting from damages or the obligation to comply with
other applicable laws, regulations, or ordinances.
Person(s) conducting open burning authorized by this permit must have a copy of the permit on site during permitted open burning
operations.
Note: The Lake Havasu City Fire Department reserves the right to revoke this permit at any time for failure to follow the
requirements.
Applicant
Fire Official
Date
Fire Official: Copy to Applicant; email original to Dispatch, then send to Fire Admin.
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Burnpermit Lake Havasu City Fire Department

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 13 July 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document