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Steps

1. Step One This section is complete This section is incomplete
2. Application Contact Information This section is complete This section is incomplete
3. Application Details Information This section is complete This section is incomplete
4. Event Plan This section is complete This section is incomplete
5. Application Agreement This section is complete This section is incomplete

Step One

Kinston Department of Fire and Rescue
P. O. Drawer 339, 401 E Vernon Avenue Kinston, North Carolina 28502 Office Phone: 252-939-3164 Fax Phone : 252-939-3157
Mandatory Permits Application for Carnivals, Fairs, Expositions, Trade Shows, or other Special Events
Business Name (if applicable)
Date of Applicaiton*
Date of Applicaiton
Location of Business:
City
State
Zip Code
Phone Number of Business
Business Website
Information of Applicant
Name of Applicant*
Middle Name
Last Name*
Address of Applicant*
City*
State*
Zip Code*
Contact Phone Number*
Email Address*
Information of Business Owner (if not applicant)
Name of Business Owner
Last Name
Address of Owner
City
State
Zip Code
Phone Number of Owner
Email Address of Owner
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Application Contact Information

Application Details Information
Name of Permit Applying For*
1. Carnival
2. Fair
3. Exposition
4. Trade Show
5. Special Event
Special Event
If Special Event is selected please Name and Describe, in detail, the Event that you are applying for.
Indoor or Outdoor Event*
Please indicate if the event planned is an indoor or outdoor event.
1. Indoor Event
1. Outdoor Event
Location of the Use of Permit (if different than business)
City
State
Zip Code
Phone Number of Location
Date and Time for Inspection*
Date and Time for Inspection
Date and Time for Inspection
Please indicate when the Event will be ready for final inspection prior to Event's Start Date.
Note
Final Inspection can be performed on the day of the event, but prior to opening to the public.
Date and Time Event Starts*
Date and Time Event Starts
Date and Time Event Starts
Date and Time Event Ends*
Date and Time Event Ends
Date and Time Event Ends
Date and Time the event is scheduled to operate to the public*
Date and Time the event is scheduled to operate to the public Start Date
Date and Time the event is scheduled to operate to the public Start Time
—
Date and Time the event is scheduled to operate to the public End Date
Date and Time the event is scheduled to operate to the public End Time
NFPA Code Information Section*
Please list in entirety what NFPA Codes are required and how the applicant will be meeting these codes.
No Smoking and NFPA 704 Signs*
Are the proper "No Smoking" and NFPA 704 Signs in place?
1. Yes
2. No
Fire Protection Equipment*
Please list the Type, Size, Quantity and Location of the Fire Protection Equipment that will be in place.
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Event Plan

Application Agreement
Permit Fee: $100.00
Payment
Payments are required to be paid in full prior to the issuance of the Permits, and can be made by Check, Cashier's/Banker's Check, Money Order or Credit/Debit Card Payment** at the Kinston Department of Fire and Rescue (Headquarters) Station 1, 401 E Vernon Avenue, Kinston, North Carolina 28501, during business hours, or by mailing or delivering a Check, Cashier's/Banker's Check or Money Order made out to the City of Kinston in care of the Kinston Department of Fire and Rescue at P. O. Drawer 339, Kinston, North Carolina 28502. ** (Conditions of Credit/Debit Card Payment can be made over the phone with the Administration Assistant of the Kinston Department of Fire and Rescue by calling 252-939-3164)
Date and Time of Payment Instructions*
Date and Time of Payment Instructions
Date and Time of Payment Instructions
By marking the date and time that the instructions have been read, Applicant is agreeing to contacting the Administration Assistant to schedule and make the payment prior to issuance of the Permit.
Waiver of Hold Harmless and Release
I, the applicant, agree to indemnify and hold harmless the City of Kinston, its employees, and its agents from and against any and all liablility for any injury which may be suffered in connection with this Permit being requested. I also hold harmless the City of Kinston, its employees, and its agents from and against any liability for any equipment or supplies lost, stolen or damaged, that are stored or otherwise as a result of this Permit being requested.
Date and time of the Waiver of Hold Harmless and Release*
Date and time of the Waiver of Hold Harmless and Release
Date and time of the Waiver of Hold Harmless and Release
This Waiver of Hold Harmless and Release has been read, agreed to and will be kept by me starting at this date and time that it was read and understood.
The Undersigned hereby makes application for a permit and the inspection of all work described above and hereby agrees to comply with all regulations and other Laws applicable to the use and type of work being performed.
Electronic Signature Agreement*
By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
1. I agree.
Electronic Signature*
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Application Agreement

Leave This Blank:

1. Receive an email copy of this form.
Email address

This field is not part of the form submission.
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Mandatory Operational Permit Application for Carnivals, Fairs, Expositions, Trade Shows, or other Special Events

Steps

Step One

Application Contact Information

Application Details Information

Event Plan

Application Agreement

FAQs