Application for Permit to Set Fire to the Bush I am aware that this is an application only and will not burn until issued a permit by an appointed bush fire control officer. Note: Persons burning without a permit may receive an infringement*This field is required. YesNo * Required Field. Applicant Full Name*This field is required. * Required Field. Mobile Number*This field is required. * Required Field.* Please enter a valid contact number Email Address*This field is required. * Required Field.* Please enter a valid email address. Residential Address*This field is required. * Required Field.* Please enter a valid residential address Burn Location Street Name and Number*This field is required. * Required Field.* Please enter a valid address Suburb*This field is required. * Required Field. Date you want to start burning. Note: Please allow up to five (5) business days for processing. If permit is required sooner, call the Customer Experience Team on (08) 9956 6600 or attend the Civic Centre at 63 Cathedral Avenue, Geraldton or the Mullewa District Office, crn of Thomas & Padbury Street, Mullewa*This field is required. * Required Field.* Please enter a valid date Type of burning (select at least one)*This field is required. BushGrassWindowsStack of timberGarden refuseStumpsStubbleBurn pileHungi/Ceremony Proposed burn size (in square metres e.g. 5)*This field is required. * Required Field.* Please enter a valid numerical number Conditions I am aware that this is an application only and I will not burn until issued a permit from a bush fire control officer. Persons burning without a permit may receive an infringement I am aware that a permit will not be issued during the prohibited burning period I am aware that this application can take up to five (5) business day to process I will notify the Department of Fire and Emergency Services communications centre on (08) 9395 9209 prior to burning I will notify my neighbours and adjoining landowners prior to burning I have read and will adhere to the Smoke Guidelines I will not burn outside the hours of 9:00am and 9:00pm I am aware that the permit will only be valid for fourteen (14) days from issue I will have pressurised running water available at all times that will control, contain, and extinguish the fire (either running hose, knapsack, fire unit, or fire brigade) I will be present and will have an additional two (2) able bodied persons in attendance who will remain until the fire is fully extinguished I will not burn if the wind exceeds 25km/hour I will not burn if the fire danger rating is HIGH or higher as announced that day by the Bureau of Meteorology (BOM) Geraldton, Western Australia | The Bureau of Meteorology Special conditions (optional) Note: these will be assessed on a case-by-case basis by a bush fire control officer I acknowledge having read and understood the conditions above and will abide by them*This field is required. YesNo * Required Field. I acknowledge that not adhering to the conditions on the permit may result in penalties or imprisonment for any offenses under the Bush Fires Act 1954*This field is required. YesNo * Required Field. Type the code from the image: The code you entered is not valid. Get Audio CodeType the code from the image