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THIS FORM IS INTENDED TO BE USED AS A GENERIC PUBLIC DISPLAY PERMIT FOR THE AUTHORITY HAVING <br /> JURISDICTION AND PYROTECHNIC OPERATORS WITHIN THE STATE OF WASHINGTON <br /> WASHINGTON STATE <br /> PUBLIC FIREWORKS DISPLAY PERMIT <br /> Applicant Permit#: FPYR0241 1-001 <br /> Site Address: 2000 Hewitt Ave <br /> Name of Event WWE Applicant: Tommie English <br /> Street Address 2000 Hewitt Avenue Application Date: 11/14/2024 <br /> Description: Pyro and Flame for WWE <br /> City Everett County Snohomish 1 Review Date: 11/14/2024 <br /> Event Date Dec. 2nd Event Time 4:30 ❑ AM ❑✓ PM <br /> Applicant's/Sponsor's Name Pyro Spectaculars North Phone No. 360-649-4503 <br /> Pyrotechnic Operator Jeremy Marshall License No. P-04540 <br /> Experienced Assistant's Name Brock Blakeley <br /> General Display Company Name Pyro Spectaculars North Phone No. 360-649-4503 <br /> Attach a separate piece of paper and/or copies of the following documents: <br /> • The number of set pieces, shells (specify single or multiple break), and other items. <br /> • The manner and place of storage of such fireworks prior to the display. <br /> • A diagram of the grounds on which the display is to be held showing the point at which the fireworks are to be <br /> discharged; the location of all buildings, highways, and other lines of communication; the lines behind which the <br /> audience will be restrained; and the location of all nearby trees, telegraph or telephone lines, or other overhead <br /> obstruction. <br /> • Documentary proof of procurement of Surety bond or public liability insurance. ` w <br /> EVERETT EVERETT <br /> Local Fire Code Authority r <br /> Everett Fire Dept. Permit Review <br /> Status: Approved <br /> Authority Having Jurisdiction Reviewed By: kbrown <br /> Name of Permitting Official 11/14/2024 12:59:36 <br /> PM <br /> Title Phone No. <br /> Permit Granted: ❑ Yes ❑ Yes, with Restrictions (see "Notations" below) ❑ No <br /> Restrictions/Notations <br /> Signature of Permitting Official Date of Approval Permit Number <br /> If approved, this permit is granted for the date and time noted herein under the authority of the International Fire Code in <br /> accordance with Revised Code of Washington 70.77 and all applicable rules and ordinances pertaining to fireworks in this <br /> jurisdiction. This permit is INVALID unless in the possession of a properly licensed Pyrotechnic Operator, who is <br /> responsible for any and all activities associated with the firing of this show. <br /> MUST BE APPROVED BY THE AUTHORITY HAVING JURISDICTION <br /> 3000-420-050(R 3/13) <br />