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Division of Engineering and Buildings

REQUEST TO HOLD AN EVENT ON OTHER PROPERTY UNDER THE CONTROL OF DGS

Questions regarding this form may be directed to the Division of Engineering and Buildings at (804) 786-3263, or DEBinfo@dgs.virginia.gov

*=mandatory field - form cannot be submitted if these fields are not completed

1.  EVENT INFORMATION

c.  Requested Event Date and Time   Event dates and times are assigned on a first-come, first-served basis; you will be contacted within three business days after submission of this form with confirmation of the date/time selected or, if the date/time is unavailable, to select a new date/time. Requests for permits made less than six days prior to the event date are subject to the availability of resources.   

2.  Individual(s) Responsible for Event Conduct:   The individual(s) listed below must sign the acceptance of responsibility.  A primary designee is required for the issuance of a permit; a secondary designee is strongly recommended.

a.  Primary Designee*:

b.  Secondary Designee: Enter the contact information for a secondary designee; upon submission of this application, a DGS representative will contact the Secondary Designee to obtain their concurrence and acceptance of responsibility.

By typing your name in the below field, you indicate that you accept responsibility for the acts of your guests at the event. If applying on behalf of an organization, by typing your name in the below field, you indicate that you are authorized to accept responsibility for the actions of the organizations' members and guests on its behalf, and that the organization accepts responsibility for the acts of its members and guests at the event. At the termination of the event, the premises shall be left as clean and orderly as they were upon arrival. 

Upon submission of your application, you will receive an email confirmation with your application number.  If you do not receive a confirmation email, your application was not submitted successfully; please contact the Division of Engineering and Buildings at (804) 786-3263, or DEBinfo@dgs.virginia.gov.