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10 <br />APPLICATION FOR PERMIT CITY OF EVERETT <br />PUBLIC DISPLAY OF FIRE DEPARTMENT <br />2811 Oakes Avenue <br />FIREWORKS Everett, WA 98201 <br />Permit No. <br />Name of applicant <br />Wolverine West, LLC <br />Telephone number <br />(206 ) 459-0917 <br />Address of applicant (street and number, city, state and ZIP code) <br />PO Box 990995 <br />Seattle, WA 98139 <br />If applicant is a corporation, give name, address and telephone number of the following: <br />Name of President <br />Telephone number <br />( ) <br />Name of Secretary <br />Telephone number <br />( ) <br />Address of Secretary (street and number, city, state and ZIP code) <br />Date on which display is to be <br />held (month, day, year) <br />6/13/14, 6/27/14, 7/4/14, 7/18/14 <br />7/25/14, 8/16/14, 8/23/14 <br />Start time of display <br />Displays to begin shortly after <br />Aqua Sox Baseball Game <br />am/pm <br />End time of display <br />Duration to be 5 to 10 minutes <br />am/pm <br />Name of organization sponsoring the display, if different from the applicant <br />Everett Aqua Sox Baseball Club - 7th Inning Stretch, LLC <br />Name of President <br />Tom Backemeyer <br />Telephone number <br />(425 ) 258-3673 <br />Address of organization (street and number, city, state and ZIP code) <br />3802 Broadway - Everett, WA 98201 <br />Exact address location planned for display to be held <br />3900 Broadway - Everett, WA 98201 <br />Number of set pieces, kinds of fireworks to be discharged, shells (specify single or multiple break) and other <br />items to be used in display (attach additional page if necessary) <br />All items are 1.4G Consumer Grade Fireworks: (42) multi -shot "cakes" & (50) 1.75" single -break shells & (6) <br />50mm close proximity comets electrically fired upon scoring a run. <br />Manner and place of storage of such fireworks prior to the display. <br />In our licensed magazines. <br />43 <br />