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SPECIAL EVENT FIRE MARSHALS OFFICE PERMIT Permit Number: SEFM02410-001 <br /> Permit Type:SPECIAL EVENT FIRE MARSHALS OFFICE <br /> City of Everett Permit Subtype:CARNIVALS FAIRS AND FESTIVALS <br /> EVERETT Permit Services Date Issued: 10/8/2024 <br /> WASHINGTON <br /> Perm itServices(a)everettwa.eov 142S.2S7.8810 Request Inspections:OnIine Perm its.everettwa.gov <br /> PERMIT INFORMATION: <br /> SITE ADDRESS: 1402 SE EVERETT MALL WAY PARCEL#: 28051800400800 <br /> DESCRIPTION: Acrobatic circus. TENANT: <br /> Acrobatic circus at Everett Mall Parking Lot. <br /> CONTACT INFORMATION: <br /> OWNER: BRIXTON EVERETT LLC PHONE:(425)322-7176 <br /> MAILING ADDRESS: 120 S SIERRA AVE SOLANA BEACH,CA 92075 EMAIL: Losoriol0@aol.com <br /> APPLICANT: Leoncio Osorio PHONE: (702)493-2894 <br /> MAILING ADDRESS:4088 Pleasant Rd Las Vegas, NV 89108 EMAIL:Americancrowncircus@yahoo.com <br /> CONTRACTOR: Leoncio Osorio PHONE:(702)493-2894 <br /> MAILING ADDRESS:4088 Pleasant Rd Las Vegas,NV 89108 Las Vegas,NV 89108 EMAIL:Americancrowncircus@yahoo.com <br /> STATE CONTRACTOR'S LIC#: EVERETT BUSINESS LIC#: <br /> PERMIT FEES: <br /> DESCRIPTION COMMENTS QUANTITY FEE AMOUNT DATE PAID <br /> FIRE REVIEW FEE 0 $100.00 10/8/2024 <br /> Percent Credit Card Fee 0 $2.30 10/8/2024 <br /> TOTAL:$102.30 <br /> PERMIT DETAILS: <br /> Event Type:TEMPORARY MEMBRANE STRUCTURE OR TENTS Event Start Date: 11/1/2024 12:00:00 AM <br /> Event Title:American Crown Circus,Inc. Event End Date: 11/4/202412:00:00 AM <br /> Address or Location: 1402 SE Everett Way Everett,WA Event Startup Time: 9:00am-4:00pm <br /> Event Description:Acrobatic circus at Everett Mall Parking Lot. Event Start Time:S:00pm <br /> Estimated Attendance: 150 Event End Time: 9:00pm <br /> PERMIT CONDITIONS: <br /> CONDITION TYPE CONTACT DATE ADDED DATE REQUIRED DATE SATISFIED STATUS REMARKS <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> By purchasing this permit and commencing work,the owner/applicant hereby agrees to hold and save harmless the City of Everett from any and <br /> all claims for damages,costs,expenses,or causes of action that may arise because of installation and maintenance of the improvement or other <br /> right-of-way use here to applied for and further agrees to remove same upon notice from the City and to replace public property damaged <br /> thereby. <br /> VALIDITY/EXPIRATION: <br /> Work authorized by this permit must be started within 180 days of date permit is issued and thereafter is to be diligently pursued to completion. <br /> This permit may be canceled by the city upon any stoppage of work on this project over 180-day duration. Each inspection extends the expiration <br /> date 180 days to keep the permit open while work is active. <br /> EVERETT Permit No.: SEFM02410-001 Page 1 of 1 <br /> WASHINGTON <br />