HomeMy WebLinkAboutRecreational Fire Permit 2021 - 3936 W 12th Street �,pCO�RT�s Recreational Fire Permit
Anacortes Fire Department
1016 13th Street,Anacortes WA98221
F.MS
-4Re Des 360-293-1925
Applicant Information ••
First Name* Last Name Phone*
Jane Brandt (360)588-4931
Mailing Address* Email
3936 W 12th Street vjbrandt@hotmail.com
Permit Information •+
Fire Location*
Enter street address if different from applicant mailing address
3936 W 12th Street
Material*
I. Firewood
Firewood is defined byPnacortes Are Department to be natural vegetation cut into sticks of two inches or larger in diameter.
Conditions
o Fire shall not contain prohibited materials i.e.,yard debris,garbage, dead animals, asphalt, petroleum products,
paints, rubber products, plastics, paper, cardboard,treated wood,construction debris, metal or any other substance
other than approved material(charcoal,firewood or LPG),which when burned releases toxic emissions,dense smoke,
or odors.
o No burning shall occur during a"No Burn Day"as designated by the NWAPA or Anacortes Fire Department due to a
forecast or existence of impaired air quality or other environmental conditions.
o Firewood is defined by Anacortes Fire Department to be natural vegetation cut into sticks of two inches or larger in
diameter.
o Water source with garden hose and nozzle is required, a 2A extinguisher is acceptable.
o Fires contained in an approved burner located not less than 15 feet from any structure.
o An adult must be in attendance at all times.
o Fire must be extinguished upon completion of the recreational activity.
o Subject to Northwest Air Pollution Regulations.
o Permit must be present on site during burning.
Signature
In accordance with the International Are Code adopted bythe City of Anacortes and regulations of Northwest Clean Air Agency,the
undersigned does agree to take responsibilityfor this burning,if granted a permit by the Anacortes Fire Department.
Signature
Application Date*
CZzerf ie,Pf7 'a'r 3/12/2021
Approval
Reviewed By* Application has been*
SHARON SWAN C' Approved r Denied
Date Issued* Date Expires*
3/12/2021 3/12/2022