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1 5 '. <br /> =r3tft. APPLICATION FOR PERMIT CITY OF EVERETT <br /> ` PUBLIC DISPLAY OF <br /> �, ox FIRE DEPARTMENT <br /> u 2811 Oakes Avenue <br /> �y//��` FIREWORKS Everett,WA 98201 <br /> t s=', I'" i `r1 ! <br /> Y ; Permit No. <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 /> 4616-25th Ave NE#528 <br /> Seattle,WA 98105 <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 /> 6/21/10,6/25/10,7/2/10,7/9110 Displays to begin shortly after <br /> 8/7/10,8/20/10, 9/2/10 Aqua Sox Baseball Game Duration to be 5 to 10 minutes <br /> 8/20/10, 9/2/10 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 /> Tom Backemeyer (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 /> 1 um•er o se pieces, in.s o irewor s o •e •isc arge•,s e s speci s ng a or mu ip a•rea an. o er <br /> items to be used in display(attach additional page if necessary) <br /> All items are 1.4G Consumer Grade Fireworks: (20)multi-shot"cakes"&(32) 1.75"single-break shells. <br /> Manner and place of storage of such fireworks prior to the display. <br /> In our licensed magazines. <br /> 110 <br />