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Town of Pahrump 2100 E. Walt Williams Dr., Suite #100 Pahrump, NV 89048 Phone: [PHONE REDACTED] Fax: [PHONE REDACTED] E-mail: [EMAIL REDACTED] Seller Permit Must be on display for public view at all times. Business Name: Type of Items: Nevada Sales/Use Tax Permit: Dates of Sale: Location of Sale: Signature of Applicant: _ Property Property Address or Signature: In signing this document the property owner authorizes the above named business/individual to offer products and/or a service from the location listed and is not responsible for permits or licenses required. Application received by: Date: Expiration Date: # Vendors__________ x $5.00 fee per vendor = Total Due Issued in accordance with Pahrump Town Ordinance # 35, this permit is subject to renewal every 30 days. Please attach the following: A copy of the Nevada Business License and Sales/Use Tax Permit or Exemption. Not Valid unless Embossed with Town of Pahrump Seal Certificates of Insurance for Workman’s Compensation for employees or Affirmation of Compliance. If you are a corporation or LLC, we also need a copy of your articles of incorporation or organization and list of officers. If you are a sole proprietorship or partnership, we need child support declaration(s) filled out and signed by the owner(s). If you are serving food or beverages, you must attach a copy of your health inspection. Child Support Declaration I, the above mentioned applicant, ( am; am not) subject to a court order for child support and (am; am not; n/a) in compliance with the order or a plan approved by the District Attorney or other public agency enforcing the order for the payment of the amount owed pursuant to the order. Initial ---PAGE BREAK--- Town of Pahrump 2100 E. Walt Williams Drive, Suite 100 Pahrump, NV 89048 Phone: [PHONE REDACTED] Property: Address: APN#: Signature: In signing this document the property owner authorizes the above named business/individual to offer products and/or a service from the location listed and is not responsible for permits or licenses required Property Owner: _ Address Signature: APN#: In signing this document the property owner authorizes the above named business/individual to offer products and/or a service from the location listed and is not responsible for permits or licenses required Property Owner: Address Signature: In signing this document the property owner authorizes the above named business/individual to offer products and/or a service from the location listed and is not responsible for permits or licenses required Property Address Signature: Owner: APN#: In signing this document the property owner authorizes the above named business/individual to offer products and/or a service from the location listed and is not responsible for permits or licenses required Property Owner: Address Signature: _ In signing this document the property owner authorizes the above named business/individual to offer products and/or a service from the location listed and is not responsible for permits or licenses required This Permit can be revoked at any time upon request of the Property Owner. ---PAGE BREAK--- Pahrump Valley Fire - Rescue Service Special Event Requirement Form Information Requirements at Time of Inspection: {)ate: Time: Location: Event Name: Entity Reviewed: Entity Signature: Entity Emergency Contact Numbers: FD Representative Conducting the Inspection: General Requirements: All Booths/Participants Must Possess a (2-A: 10 B:C) Portable Fire Extinguisher All Booths/Participants must use appropriate exterior rated electrical power supplies/cords All Tents, Canopies, and Membrane Structures Must Meet the Following 2006 IFC Codes: (Tents in excess if 200 square feet and Canopies exceeding 400 square feet require fire official approval) * Identification of structure type and layout required for 50+ occupants * Established Exit(s) separation not to exceed 100' * Maintain FD/EMS Access of 20' * Affixed Certificate of Flame Resistance Label * Affixed Manufactured Date Display Label * Posted "No Smoking Signs" * Posted Illuminated Exit Signs * Generators shall be separated by a minimum distance of 20' For Any Tent, Canopy, or Membrane Structure * No open or exposed flame within 20' of the tent or canopy. Food Preparation Areas: * Fuel Type Identification * Clearance between fuel(s) and exits 10' minimum * Clearance between fuel(s) and temporary structures (tents & canopies) 20' minimum * Deep Fat Fryers require an additiona 40-B:C Dry Chemical Extinguisher: * Separation between similar LP tanks must be 20' minimum * LP tank valves must be pointed away from structures.