2000 HEWITT AVE EVERETT EVENT CENTER 2024-12-31

A THIS FORM IS INTENDED TO BE USED AS A GENERIC PUBLIC DISPLAY PERMIT FOR THE AUTH( EVERETT EVERETT .,.....,. r JURISDICTION AND PYROTECHNIC OPERATORS WITHIN THE STATE OF WASHINGT( Everett Fire Dept.Permit Review Status:Approved Reviewed By:KBrown WAS H I N G T O N S TAT E 03/27/2024 AM 11:54:58 A PUBLIC FIREWORKS DISPLAY PERMIT Applicant Permit#: FPYR02403-002 Site Address: 2000 Hewitt Ave Name of Event Professional Bull Riders (PBR) Applicant: Rick Olsen Application Date: 03/23/2024 Street Address Angel of the Winds Arena: 2000 Hewitt Ave Description: Proximate Pyro from PBR City Everett County Snohomish Review Date: 03/27/2024 Event Date April 17,18 Event Time 7:45 ❑ AM © PM Applicant's/Sponsor's Name Pyro & Fire FX LLC Phone No. 253-307-5118 Pyrotechnic Operator Tommie English License No. P-04518 Experienced Assistant's Name Jeff Coonce General Display Company Name Pyro & Fire FX LLC Phone No. 360-649-4503 Attach a separate piece of paper and/or copies of the following documents: • The number of set pieces, shells (specify single or multiple break), and other items. • The manner and place of storage of such fireworks prior to the display. • A diagram of the grounds on which the display is to be held showing the point at which the fireworks are to be discharged; the location of all buildings, highways, and other lines of communication; the lines behind which the audience will be restrained; and the location of all nearby trees, telegraph or telephone lines, or other overhead obstruction. • Documentary proof of procurement of Surety bond or public liability insurance. Local Fire Code Authority Authority Having Jurisdiction Name of Permitting Official Title Phone No. Permit Granted: ❑ Yes ❑ Yes, with Restrictions (see "Notations" below) ❑ No Restrictions/Notations Signature of Permitting Official Date of Approval Permit Number If approved, this permit is granted for the date and time noted herein under the authority of the International Fire Code in accordance with Revised Code of Washington 70.77 and all applicable rules and ordinances pertaining to fireworks in this jurisdiction. This permit is INVALID unless in the possession of a properly licensed Pyrotechnic Operator, who is responsible for any and all activities associated with the firing of this show. MUST BE APPROVED BY THE AUTHORITY HAVING JURISDICTION 3000-420-050(R 3/13)