Retail Sales for Consumer Fireworks Application

Firework Sales

Retail Sales Fireworks permit application submittal for Clackamas Fire District #1 for inside sales, tents and stands. OAR 837-012 and ORS 480.111 to 480.165.
Please fill out the form below and submit the OSFM application in pdf format. Application must be complete to be accepted. OSFM form, site diagram, responsible person's ID, tent certification, and certificate of liability insurance must be included.
Date submitted*

MonthDayYear
Date
Person/Company submitting permit application*

First NameLast Name
Email of person submitting permit application*
example@example.com
Person responsible for sales*

First NameLast Name
Email of person responsible for sales*
example@example.com
24 hour Phone Number*
Please enter a valid phone number.
Retail Sales Location*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Upload the following: 1) OSFM application in pdf format 2) Site diagram 3) Copy of photo ID 4) tent certification and 5) insurance certification. All five must be included or permit application approval will be delayed. *

Cancelof
* Any revisions to this application may require an additional fee of $25.00 *

My Products*

Fireworks Sales Application fee

$35.00

Revisions to approved permit applications

$25.00

Total

$0.00

This application will be submitted to the Clackamas Fire's Fire Marshal Office for review. Once approved, a final copy will be returned to you for submission to the State Fire Marshal's Office.

Business Services - FMO - (04/2022)
Should be Empty:

Firework Sales