Brick Dealer Permit Application

First Name

Last Name

Address

City

State

Zip Code

Phone Number

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Are You the...
- select - Owner Partner Officer of Corporation

If Officer, what is your position or title?

The undersigned hereby makes application for a permit to sell used bricks in the City of St. Louis in accordance with the provisions of Ordinance 67392 at the above business address.

The undersigned agrees to apply with all City of St. Louis Ordinances governing the operation of such business.

The undersigned further certifies that the answers to the questions below are true and correct.

Type your full name to indicate acceptance and agreement with above conditions and attestations.

Business Name

Business Address

Business City

Business State

Business Zip Code

Business Email

Business Hours and Days

Are you currently a Certified Demolition Contractor with the City of St. Louis?
- select - YES NO

Do you have a proper camera at the above listed business?
- select - YES NO

Do you agree to use said camera to photograph each person selling or otherwise transferring bricks to this business, and to make such photographs available upon request?
Agreement to photograph each person selling or otherwise transferring bricks to this business, and making such photographs available to Police Officers or to the Department of Public Safety employees upon request is required.
- select - YES NO

I understand that I am obligated to require the display of a demolition permit and valid City business license before accepting used bricks/agree to maintain a register of all purchases
Do you understand that you are obligated to require the display of a demolition permit and valid City business license before accepting used bricks and do you agree to maintain a register of all purchases?
- select - YES NO

Do you agree the above register shall be open to inspection and copying by Police Officers or Department of Public Safety employees during normal business hours?

Do you understand that making a false entry or failing to make a complete entry of a transaction in the register shall be deemed a violation of Ordinance 67392?

Do you understand that you are prohibited from purchasing any used bricks from any minor, at anytime, or from any person whomsoever, between the hours of seven p.m., and seven a.m.?

I understand the result of failing to comply with Ordinance 67392.
Do you understand that failure to comply with Ordinance 67392 may result in the revocation of this permit and penalties including fines and/or imprisonment as set forth in Ordinance 67392?

Type full name to indicate acceptance and agreement with above information and terms.