Form 81-910 - License Application Amusement (Page 4 of 5) in pdf

C) Amusement Permit (Temporary) (3026)

Required of anyone conducting any place of amusement or temporary place of amusement. The

cost of temporary permit is $5.00 per day. All required licenses must be current at the location

where event will be held.

1) List names and home addresses of all officers.

2) Attach sample admission or other ticket.

D) Amusement, Vehicular (3001)

Required of anyone operating an electric, mechanical or otherwise operate machine or device

designed to carry, convey, contain, hold or support occupants for amusement. Each vehicle must

be licensed.

REQUIREMENTS:

1) Proof of liability insurance.

a. public liability: 1 to 4 persons incl., $25,000; 5 or more persons, $50,000.

b. per accident: 1 person, $25,000; 2 to 4 persons incl., $75,000; 5 more person,

$150,000.

c. property damage: 1 to 4 persons incl., $1,000: 5 or more persons, $5.00.

2) Temporary Electrical wiring permit (Electric Unit 686-2454).

E) Carnival License (3028)

Required of anyone holding or conducting any moving, temporary show where a charge is made

for admission or participation, whether held in a building, tent, enclosure or lot, and where

following forms of amusement or entertainment are conducted: riding devices, illusion shows,

mechanical shows, active games of skill or games of a like character.

REQUIREMENTS:

Carnival Company furnishing rides must have on file annually

1) Proof of Certificate of Insurance -- Public Liability $100,000; per accident $300,000

and Property Damage $5,000. The contract of insurance must name the City of

Philadelphia as certificate holder.

2) An Annual Amusement License.

3) A Commercial Activity License

4) Food License (Non Permanent Location) if food will be sold.

5) Tent permit may be required. For information contact the Fire Unit at 686-2534 or 686-

2535.

Sponsor of Carnival

1) Submit six (6) copies of the application for Carnival License at least six (6) weeks in

advance of the event. Please do not mail license fee until you receive notice that

your application has been approved.

2) Temporary Amusement Permit.

3) Temporary electrical wiring permit (Electric Unit 686-2454).

4) Police approval (License Issuance will forward application).

5) Letter of permission from the owner of the property where carnival is to be held.

6) Furnish information with respect to the proposed date and place of the carnival; the

organization, society, or club, if any, for whose benefit the carnival is to be given; and the

nature of he structures and devices to be used and the entertainment to be given or

permitted. Answer all questions fully.

7) Pay license fee of $200.00 got each week or part thereof during which carnival is

conducted; free license may be issued to organizations approved by the Department of

Revenue (686-6595). CARNIVAL LICENSEE PLEASE ANSWER

ALL QUESTIONS COMPLETELY. USE ADDITIONAL SHEET IF NECESSARY.

81-910 (Page 2of 3) (Rev. 6/12)

Form 81-910 - License Application Amusement Page 4

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