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_ u,~ 'L~ ,~ U 6 <br />LJ <br />• <br />• <br />• <br />PYROTECHNICS PERMIT COPY 1 <br />COUNTY OF ORANGE NORTH CAROLINA <br />Pursuant to G.S. 14-413, Commissioners in North Carolina Counties are empowered to authorize and <br />issue permits for the use of pyrotechnics in connection with "...shows of all descriptions...but only <br />after satisfactory evidence is produced to the effect that said pyrotechnics will be used for the <br />aforementioned purposes and none other". <br />On (date of approval), (apsncy to whom approval was 9ranted),(town), NC ,was approved for a pyrotechnic permit to be used <br />in association with (.~.nt), (date of event), position of event). <br />The approval is granted based on the following assurances from the requestor: <br />•Pubilc Safety personnel will be on site during the event to ensure public safety and to <br />provide adequate traffic control; <br />Proof of Uability insurance which includes the County as a named insured, has been <br />submitted to the Orange County Director of Purchasing and Central Services. Limits of <br />liability are no less than 61,000,000 per occurrence. <br />4Show setup will be approved by the pwne responsible Fir. oftloiai) or his designee, prior t0 the <br />beginn~g of show. Permitted explosives include those. listed on attachment #1, as <br />Submitted by (name pyrotechnic operator company). <br />~pvame of location) has had a current fire inspection and is in compliance with the Standard F1re <br />Prevention Code, 1988, with North Carolina amendments. <br />Approved by: (All signatures must be afti>Ged for permit to be vaBda <br />John Link, Jr., <br />Orange County Manager <br />Fire Official <br />Pamela Jones, Director, Orange County Nick Waters, Director, Orange County <br />Purchasing and Central Services Emergency Management Services <br />HANDLING INSTRUCTIONS: EACH PARTY SIGNS TWO COPIES OF PERMIT <br />1. Director of Purchasing signs after osrtiflcation that chscidist criteria has been met. <br />2. Orange County Manager signs. <br />3. Fire O(fidal signs, upon approval of the site set up prior to the event. <br />4. Emergency Management Director signs after assurance from Fire Oifidal that requirements of the Standard Fre Prevention Code <br />as k respects the use of pyrotechnics has been met. <br />5. Emergency Management Direcxor provides one copy of pemtit to show sponsor and returns one copy to the Director of Purchasing <br />for records mairrtsnancs. <br />1.1 iwpmtforrn <br />