CITY AND COUNTY OF DENVER

Department of Safety

Fire Department

Fire Prevention Division

745 W. Colfax Avenue

Denver, CO 80204

p: 720.913.3474

f: 720.913.3596

SPECIAL EVENT PERMIT APPLICATION FORM

This form must be completed and signed by a representative of the business participating in a special event. It will be returned to the event organizer upon approval. A Denver Fire Department Special Event Permit will not be issued if this form is not completed, signed and returned. Permits are issued from 8 a.m. to 4 p.m. Monday – Friday.

Type of permit: ANNUAL SINGLE EVENT

Business Name:

Business Address:

Business Representative:
Business Phone: Business Fax:
Event Name:

Event Date (s):

Event Place:

PLEASE CHECK ALL OF THE FOLLOWING ITEMS THAT WILL BE USED AT THE EVENT:

CANDLES AND OPEN FLAMES IN ASSEMBLY AREAS –STERNO

COOKING WITH PROPANE OR charcoal, wood, or other fuels

Mushroom Heaters -- # of

USE OF FLAMMABLE OR COMBUSTIBLE LIQUIDS

PORTABLE GENERATOR: GAS DIESEL # OF UNITS

TENT OVER 200 SQUARE FEET : SIZE #OF TENTS

- REQUIRED: SITE PLAN FLAME CERTIFICATION

CANOPY OVER 400 SQUARE FEET: SIZE # OF UNITS

- REQUIRED SITE PLAN FLAME CERTIFICATION

INDOOR/OUTDOOR PROXIMATE PYROTECHNICS

Temporary Heat –Electric/Propane

FIREWORKS PROPANE EFFECTS/PYROTECHNICS

FOGGER(S)/HAZER(S)

Fire Dancing

OTHER

I HAVE READ AND UNDERSTAND THE DENVER FIRE DEPARTMENT SPECIAL EVENT VENDOR REQUIREMENTS. I ALSO UNDERSTAND THAT A PRE-EVENT INSPECTION MAY BE REQUIRED AND THAT IF I DO NOT COMPLY WITH THE DENVER FIRE CODE AND SPECIAL EVENT REQUIREMENTS, MY PERMIT MAY BE REVOKED WITHOUT REFUND.

SIGNATURE AND DATE: __________________________________________