Life Safety Division • City of Duluth Fire Department
615 West First Street • Duluth, MN 55802
Phone: 218-730-4380 • Fax: 218-730-5902
Email: lifesafety@duluthmn.gov • Website: www.duluthmn.gov/fire/
Firework Sales Permit Application - $100.00 Fee
Site Information-
Site Address:_______________________________________ Business Name: _______________________
Indoor Display Outdoor Display (tent permit may also be required)
Applicant Information- (to be completed by Firework Sales Company or Managing Organization)
Name:________________________________________ Contact Phone:_________________________
Address:___________________________________ __________________________________________
Email Address:________________________________________________________________________
Attach the following documentation:
Firework Sales Site Map
Insurance – Certificate of Liability Insurance
Applicant agrees to abide by the Duluth Fire Department Fire Prevention Code as it relates to this permit.
________________________________________________ _____________________________
SIGNATURE DATE