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1 <br /> 15 <br /> APPLICATION FOR PERMIT CITY OF EVERETT <br /> .4 PUBLIC DISPLAY OF FIRE DEPARTMENT <br /> 147 <br /> 2811 Oakes Avenue <br /> �� `> i <br /> FIREWORKS Everett,WA 98201 <br /> gt,,% .. ,j 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 /> Displays to begin shortly after <br /> 7/3/2010 Aqua Sox Baseball Game Duration to be 5 to 10 minutes <br /> am/pm <br /> Name of organization sponsoring the display,if different from the applicant <br /> Everett Aqua Sox Baseball Club-7th Inning Stretch,LLC Telephone number <br /> Name of President I(425)258-3673 <br /> Tom Backemeyer <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: (34)multi-shot"cakes"&(64) 1.75"single-break shells. <br /> Manner and place of storage of such fireworks prior to the display. <br /> In our licensed magazines. <br /> 113 <br />