Everson, PA · Fayette County
Amusement Permit Application
Businesses use this application to list amusement devices, provide establishment and contact details, and request permits from the Borough of Everson.
What this form is
This application is for businesses listing billiard or pool tables, pinball machines, jukeboxes, and other amusement devices for a permit year ending December 31. It asks for the business and property owner details, device counts, game names and serial number information, and the total fee enclosed. The Borough section records investigation, approval, permit issuance, and expiration.
Who needs it
A business seeking permits for amusement devices listed on the application should complete it and return it to the Borough office.
How to submit it
Complete the application and return it to the Borough office at 232 Brown Street, Everson, PA 15631, with payment in full for all required permits.
About notarization
This application has no notary block; the authorized representative signs it, and the document lists no notarized or sworn attachment.
How to submit this form
- 1
Download The Application
Download the Amusement Permit Application PDF.
- 2
Complete The Application
Enter the establishment and property owner details, device counts, fees, and requested game and serial number information.
- 3
Check The Payment Amount
Calculate the total fee enclosed for all permits required.
- 4
Return It To The Borough
Return the completed application with payment in full to 232 Brown Street, Everson, PA 15631.
Frequently asked questions
- Who should complete the Everson Amusement Permit Application?
- Businesses seeking permits for amusement devices listed on the application should provide establishment, contact, property owner, and device information.
- How do I submit the Everson Amusement Permit Application?
- Complete the application and return it to the Borough office at 232 Brown Street, Everson, PA 15631, with payment in full for all permits required.
- What information does the application request?
- It requests the nature and name of the business, addresses and contact numbers, device counts and fees, and game names with the last six digits of serial numbers.
- Do I need a notary for the Everson Amusement Permit Application?
- No. The application has no notary block; the authorized representative signs it, and the document lists no notarized or sworn attachment.