Please complete all fields for the individual, group, or organization operating the fireworks display.
Please complete all fields for the fireworks supplier.
Please enter an inventory of the type and quantity of fireworks, the expected length of the proposed display, and the date of the show.
Please submit a copy of the operator’s pyrotechnic operator’s permit, obtained from the State of Alaska, Department of Public Safety.
Please submit a copy of the fireworks display permit application submitted to the State of Alaska, Department of Public Safety.
Please submit a copy of the fireworks display permit obtained from, the State of Alaska, Department of Public Safety.
Please submit a site plan identifying the location of the proposed display, the location where fireworks will be used and stored, and the surrounding properties.
Please submit evidence of the display sponsor’s and operator’s financial responsibility. This could take the form of an insurance certificate or other document attesting to coverage and responsibility.
Please enter the date and time of submitted application.
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.
Additional Firework Information: Definitions (21.16.010), Sale Prohibited (21.16.020), Use Restricted (21.16.030), Firework Displays - Permit Required (21.16.040), Authorized Sale and Use (21.16.050), and Penalty for Violations (21.16.060)
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