City of Lake Geneva Fireworks Permit

Lake Geneva Fire Department
Fire Prevention Bureau
730 Marshall Street
Lake Geneva, Wisconsin 53147

(The holders of this permit are authorized by the City of Lake Geneva, City Officials, to possess and use class B (1.3), C(1.4) fireworks in accordance with the following terms.  All the displays shall comply with Local, State, and NFPA Codes.)

Fill in your information on the computer then print and apply signature, & date in pen before submitting to fire department.

1. Names of group members (An individual cannot be issued a permit)

    (a)

    (b)

    (c)

    (d)

2. Address of permit holders (address, city, state, zip NO P.O. Box)

   

3. Address of storage / use of fireworks (address, city, state, zip NO P.O. Box)

   

4. Date of authorized possession and use      - -

5. Itemized list of (label name) and quantity of class B (1.3), C(1.4) fireworks

6. NOTE: Permit Required Class C fireworks cannot be sold to minors or Persons restricted from possession of dangerous weapons due to a criminal conviction record.  Certain types of class B or C fireworks shoot multiple projectiles at speeds of 1300 feet per second.

7. Signature of Mayor or City Clerk __________________________________________________________

8. Signature of Fire Chief __________________________________________________________

9. Signature of Police Chief __________________________________________________________

10. Date issued     ____/____/________

SPECIFIC LOCAL REQUIREMENTS

1. Proof of liability coverage.
2. Fireworks must be displayed not less than required by NFPA Standards away from spectators, vehicles and
     other exposures with a minimum of 300 feet for 1.3 G shows.
3. All displays will be aimed away from spectators.
4. A test shot will be fired into the air at least 1 hour before scheduled display.
5. Fireworks that have been wet at any time prior to the display will NOT be used.