Fireworks Permit Application (Print)
This PDF document may not meet current accessibility standards (WCAG 2.1 AA) and may not be fully usable with assistive technologies.
If you require access to the information in a more accessible format, please e-mail webstaff@johnstonnc.gov and we will provide an alternative version as soon as possible. A machine-generated text version is also available below.
We apologize for any inconvenience and appreciate your understanding as we work toward full accessibility compliance.
If the document does not display above, download the PDF.
Text version (machine-generated from the PDF)
10 Johnston County Inspections Department 309 E Market St Smithfield , NC 27577Phone 919 - 989 - 5060Fax 919 - 989 - 5431 APPLICATION FOR FIREWORKS DISPLAY PROPERY INFORMATION COMPANY OR INDIVIDUAL NAME ___________________________ PHONE ________________ ADDRESS _________________________________________________________________________ City State Zip Code SITE ADDRESS _____________________________________________________________________ City State Zip Code CONTACT PERSON ____________________________________ PHONE _______________ CONTRACTOR INFORMATION ADDITIONAL INFORMATION SITE PLAN Approved Denied REGULATIONS The undersigned does herby declare that the information given above is correct and agrees with all State and Local Laws , Local ordinances and regulations , and the North Carolina State Building Code The under - signer also declares all subcontractors for this project have been notified of their contractual obligation to this project The applicant furthermore declares that he she is the property owner or legally represents the property owner This application only becomes a permit when it has been processed and approved by the Johnston County Inspections Department and all applicable fees are paid Owner Contractor Agent Signature _______________________________________________ Print Name __________________________________________________ Date ____________________________________ Approved By _________________________________ Print Name _________________________________ Title _________________________________ Date _________________________________ NAME OF OPERATOR _______________________________________________________________ ADDRESS ________________________________ PHONE _______________ LICENSE # _________Page