BARRICADE/TOWER LIGHT RENTAL APPLICATION 
Today’s Date: 
RENTAL TYPE 
☐BARRICADES
☐TOWER LIGHT
APPLICANT INFORMATION 
Contact Person: 
Company/Business/Govt Agency: 
Phone: 
Email: 
EVENT INFORMATION 
Event Date: 
Event Address: 
Event Time: 
Event Type: 
RENTAL TYPE 
RENTAL PRICE 
AMOUNT REQUESTED 
AMOUNT RETURNED 
FEE 
BARRICADE 
$4 per barricade 
TOWER LIGHT 
$130 
ALL FORMS OF PAYMENT ARE ACCEPTED 
Applicants are responsible for transporting and installing barricades.  
A fee will be imposed if all barricades are not returned or damaged upon return. 
Pick-up times: 9:00 a.m. – 2:00 p.m. 
Approver’s Signature: ____________________________ 
SIGN
 EVENT PERMIT APPLICATION 
Page 2 
Barricade/Tower Light Rental Application 
TERMS AND CONDITIONS 
1. Transportation Arrangement: The applicant must arrange to transport rented equipment
from and back to the Department of Public Works.
2. Damage Liability: When renting barricades, it is the applicant’s responsibility to return them
in the same condition they were received. Any damage incurred beyond normal wear and
tear will result in additional charges or fees.
3. Local Regulations: The applicant must comply with local regulations governing the use of
the rented equipment. Failure to do so can result in fines or legal penalties, for which the
applicant will be liable.
4. Safety Standards: The applicant is responsible for ensuring the rented equipment is safely
used and safety standards are followed, including proper setup, maintenance, and
supervision to prevent accidents or injuries.
5. Late Fee: The applicant must ensure items are picked up at the agreed-upon time, as
specified in the rental agreement. If the applicant fails to return the rented equipment by
the agreed date, a daily rental charge will be added.
Return Date of Barricade/Tower Light: 
Applicant Signature: 
Date: 
SIGN