Name of Applicant
Business Location
Type of Permit Requested
**
**
Tent/Bounce House Install and operate
To: WASHINGTON TOWNSHIP FIRE DEPARTMENT For Department Use Only:
FIRE PREVENTION BUREAU
6200 Eiterman Road
P.O. Box 3248
Dublin, Ohio 43016 (614-652-3920)
Code
Dublin Fire
Code Section
105
Article No.
105.6.43 and 105.7.12
Description:
To install and operate
Property Use:
Inspection By:
Approved:
Disapproved:
Remarks:
See permit
Date Received:
Permit Number:
Permit issued by:
Date issued:
Permit Fee:
WASHINGTON TOWNSHIP
Date:
**
Application is hereby made by the undersigned for a permit to:
Install
Operate
In or on the premises located at:
**
The following materials, processes or equipment will be used:
** Number of tents/bounce houses:
** Size of tents/bounce houses:
** Date installed:
** Date removed:
**** Flame retardant certificate required ****
I hereby agree to:
Conditions, surroundings and arrangements, to be in accordance with the Fire Codes adopted by the
City of Dublin, Washington Township and the Fire Marshal, State of Ohio.
Complete plans and constructions details must be submitted on all projects when requested.
REQUESTED:
NOT REQUESTED:
RESUBMIT:
SIGNATURES:
Person Responsible
Address
Telephone
click to sign
signature
click to edit
Chrome Web Store
It looks like you haven't installed the Fill Chrome Extension Add to Chrome