Fireworks permit application

To qualify for a permit, fill in this application form.

As soon as you submit the form, you will be asked to review a list of fireworks safety regulations, and confirm you understand them. You will then pay the $5.00 application fee, and receive your permit.

First Name *

Last Name *

Phone *

Cell Phone

Address *

City/District *

Province

Postal Code *

Email *

Value of Fireworks ($)

Section 2: Information about where you will set off the fireworks

This permit is VOID for the purpose of discharge if the “address of display” is not located within the District of North Vancouver.

Privacy statement

The personal information collected on this form is done so pursuant to the Community Charter and/or the Local Government Act and in accordance with the Freedom of Information and Protection of Privacy Act. The personal information collected herein will be used only for the purpose of processing this application or request and for no other purpose unless its release is authorized by its owner, the information is part of a record series commonly available to the public, or is compelled by a Court or an agent duly authorized under another Act. Further information may be obtained by speaking with The District of North Vancouver’s Manager of Administrative Services at 604-990-2207 or at 355 W Queens Road, North Vancouver.

Confirmation

I confirm that:

I have confirmed that the address of display listed in Section 2 of this form is located within the District of North Vancouver.*

I have permission from the owner of the property listed in Section 2 of this form to discharge fireworks.*

I will only discharge fireworks at the address listed in Section 2 of this form.*

I will be 19 years of age or older when I purchase the fireworks.*

All of the information I have provided is accurate and complete.*

Fireworks permit application

Section 1: Information about you

Section 2: Information about where you will set off the fireworks

Privacy statement

Confirmation