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111111 APPLICATION FOR PERMIT CITY OF EVERETT <br /> PUBLIC DISPLAY OF FIRE DEPARTMENT <br /> 2811 Oakes Avenue <br /> 41/....... <br /> FIREWORKS Everett, WA 98201 <br /> rr- .r <br /> Permit No. <br /> 20/6 -03 "-c <br /> Name of applicant Telephone number <br /> Wolverine West, LLC (206 )459-0917 <br /> Address of applicant (street and number, city, state and ZIP code) <br /> PO Box 628 <br /> Chehalis, WA 98532 <br /> If applicant is a corporation, give name, address and telephone number of the following: <br /> Name of President Telephone number <br /> ( ) <br /> Name of Secretary Telephone number <br /> ( ) <br /> Address of Secretary (street and number, city, state and ZIP code) <br /> Date on which display is to be Start time of display End time of display <br /> held (month, day, year) <br /> 6/24/16, 7/4/16, 7/9/16, 8/5/16, Displays to begin shortly after <br /> 8/13/16, 8/19/16, 8/27/16, 9/3/16 Aqua Sox Baseball Game Duration to be 5 to 10 minutes <br /> am/pm 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 Telephone number <br /> Danny Tetzlaff (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: (30) multi-shot"cakes" & (50) 1.75"single-break shells. <br /> Manner and place of storage of such fireworks prior to the display. <br /> In our licensed magazines. <br />