Explosive Materials On-Site Storage Permit Application

Storage permit applications must be completed and presented to the Sedgwick County Fire Marshal's Office 14 days prior to delivery of any explosive materials

Personal Information

Name of Applicant (required) Applicant's name

Date (required) Date

Applicant Home Address (required) Home address

City (required) City

ZIP Code (required) Zip code

Phone number (required) Phone number

Business Name (required) Business name

Storage Details

Type of Storage Requested (required)

Outdoor Storage Unit (Mobile - $150 per unit)

Outdoor Storage Building (Permanent - $200 per unit)

Storage Type

Total Number of Storage Units/Buildings (required) Total Storage units/Buildings

Explosive Storage Address (required) Storage address

City of Explosive Storage (required) Explosive storage city

Describe Exact Location of Storage (required) Exact storage location

Contact person for Emergencies

Contact name 1 (required) 1st Contact name

Contact name 2 (required) 2nd Contact name

Contact name 3 3rd Contact name

Contact 1 phone (required) 1st Contact phone

Contact 2 phone (required) 2nd Contact phone

Contact 3 phone 3rd Contact phone

Verification

I certify the above information is true and correct to the best of my knowledge and belief. I understand that any incorrect information submitted on this application will give the Sedgwick County Fire Department authorization to deny my application and retain the permit fee. After verification of the application and an on-site inspection of the property where the explosive storage will be located, a permit maybe issued. This permit is not transferable to another applicant or site and it shall be visually posted at the site and surrendered upon request to the representative of the Sedgwick County Fire Department. I further understand that no one is permitted to discharge any type or form of common fireworks and that in doing so may result in the permit being forfeited and that I may be denied a future permit at this location (required)

Verification