Form Center

2. NOTICE

   This application will be approved only after all applicable forms are received and the proposal site has been inspected and all are in compliance with the Fireworks Regulation Section 6.4-37 of the Municipal Code of the Town of Normal, Rules of the State Fire Marshal, and all Illinois State Laws.

   Submit application to Normal Fire Department Prevention at least three (3) weeks prior to the date of occasion.

   If you have questions, contact the Prevention Division at 309-454-9616. Submit plans to: Normal Fire Department Prevention Division 606 S Main St. Normal, IL 61761

5. Date and Time of Pyrotechnic Display: *
   Date and Time of Pyrotechnic Display: Start Date

   Date and Time of Pyrotechnic Display: Start Time

   —

   Date and Time of Pyrotechnic Display: End Date

   Date and Time of Pyrotechnic Display: End Time
   Please provide the date and time of the pyrotechnic event.
6. Organization Name and Address:*
   Please provide the name and address of the person or organization requesting the pyrotechnic display.
8. Proposed location of pyrotechnic display: *
   Please provide the location name and address where the display will be taking place.
10. Firm providing fireworks:*
    Please provide the name and address of the licensed pyrotechnic firm.
11. Email Address*
13. Lead pyrotechnic operator name:*
14. Lead Pyrotechnic Operator State License #:*
16. Number and kinds of fireworks to be discharged (or attach list):*
18. Attach pyrotechnic device list
19. Required Attachments
    Attach a diagram of display site, copy of insurance papers and amount for bond or bonding company papers, and a copy of the pyrotechnic state license. If not submitted digitally, these must be submitted by mail or in person to the address above for approval.
21. Where will the fireworks be stored prior to display?*
23. Has liability insurance been obtained?*

    (Minimum $500,000)

    1. Yes
    2. No
24. Bond Amount (State Law Minimum $1,000):*
    (Required in addition to insurance by State Law)
26. All accidents must be reported to the office of the State Fire Marshal withing Thirty-six (36) hours of any occurrence.
28. Names of applicants *
    Please type the full names of three applicants, their age, and best phone number to contact them.
Leave This Blank:


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

    This field is not part of the form submission.

32. Submit Submit and Print

* indicates a required field