20120191 Permit Pkg 06062012City of YOM
Community Devolopmem oewrtmem
Building Division
Plmne: (360) 459-0407
Fax: j360j 469-3144
Applicant:
Name: AMERICAN PROMOTIONAL EVENTS NW
Address 2120 MILWAUKEE WAY
TACOMA WA 99421
Permit Ni 20120191
Issue Cede: 61361"12
{WOry mulln mnpblee w6lndw evyal
Phone : 255922 -0800
PropeM1y mtarmamn:
Site nddreaa: 906 YELM AVEE Chow
Asses or Penal Na: 22730121200 Something.
ContractmlMomSo on
RIDEAID
Name: AMERICAN PROMOTIONAL EVENTS NW Phone.
Address : BRENDAMERRITT
2120 MILWAUKEE WAY
TACOMA WA 98121
Conlredor Uwnas No Erolrea: ONONJ]J
PmjectlMgmallow
Projrri FIREWORKS
Description M Wpk: YELMSPIRIT OF 79 FIREWORKS BOOTH AT RITE AID
SR. FL per Roar. Ernst HOW rype(EIttNc. Gas. Other)
5enond
Tmk
Garage
easement
Lot
Fees:
Item Conlrecirr Fees
FIRE AMERICAN PROMOTIONAL Fifil MV 5 3000
TOTAL FEES: 3 3000
Appliva aAMdvrn:
OFFICILLIISE ONLV
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20120 191 gNt(flING PERMITS
905 VELM AVE EE LE
Er ONAL
FIRE EVENT, Np
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APPLIED � 30.00 CNEC
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CHANGE: -- I&
APPLICATION
FOR RETAIL FIREWORKS STAND PERMIT
WWH]106
Governing body of city, town, or raanty in which DATE OF
I
MAY 29, 2012
fireworks stand will be located.
Alan ATION:
Applicant Name:
Address. City, State:
YELM SPIRIT OF 76
21M MMWAUKEE WAY, TACOMA,, WA 98421
Sponsor (if other than applicant):
Address. City, State:
2120 MILWAUKEE WAY, TACOMA,, WA 98421
MATT NELSON
Location oP pressured frewuds stand:
[Enclose drawing of stand kr ation]
905 E YELM AVE YELM, WA
RITE AM
Mamer and place of smraee prior, drains, and after sales dates:
ON SUE WITH SECURITY
State Licensed Mreworks Supplier:
American Prmnntional Events NW
2120 Milwaukee Way, Tacome, WA 96421
FIREWORKS STAND PERMIT
For The Fireworks Sales Year Of: 2012
(Must be conspicuously displayed at all rates while the staid is open to the public)
By virtue of having been granted a license by the State of Washington and this permit hum
CITY OF YELM the local governing authority, the named person, firm or organization is hereby
authorized to sell U.N. 0336 1.4G Comumer fireworks at the location designated herein between the
following date and times:
Sales For July do Sales For December 314'
From: From
To: TO
Sponsor: YELM SPIRIT OF 76
"oration: AM 905E YELM A rE YELM .)SA
/s/ A/ (tee .. ��trvrAi" FOR MATTNELSON
Signsure of Official Granting PVmit �/� 9gvvtme ofAppllcevI
Title: R l_ �_ dlh;z __QC v . Agency: a /� mac—_
Date: Pemdt Number: 70I7nill
Licensee Name: YELM SPIRIT OF 76 License Numbed
TNipI,
May 29, 2012
Gary Carlson
Building Dept.
City of Yelm
105 Yetm Avenue West
Yellen, WA 98597
Dear Building Dept.,
In preparation for the upcoming 2012 July season, please find enclosed with
this letter all information to apply for 1 temporary retail fireworks stand permit.
I In eye also enclosed 1 check, totaling $30.00, check # 30016206, for the
Permit Fee of $30.00.
If you have any questions or require further Information please feel free to
contact me at (253) 922 -0800.
Thank you for your time and attention to this matter.
Sincerely,
Brenda MIa Vi �
Licensing & Permits
American Promotional Events, Inc. - Northwest
Enclosure(s)
AMERICAN PROMOTIONAL EVENTS. INC. ^ 11
2120 MILWAUKEE WAY. TACOMA, WA 99091 JUN 012012 LLL
TACO" (2W) 92X9990• SEATTLE pen 836108)
FAX (20)Sm2939 BY: -
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coRd CERTIFICATE OF LIABILITY INSURANCE I
A "WimmWl
LI
FED cEAnPCdlE VY ISSUED AS A MATTER OF INFORMATION ONLY AND RIGHTS UPON THE CERTIFICATE HOWER. TI
CERTIFICATE DOES NOR AFFIMA�LY US AMEND. EXTEND OR ALTER THE COYEMOE AFFORDED BY THE POLICES
LCONSTITUTE
BELOW. FIRM CE�F�M OF INSURANCE DOES NOT A CONSTRUCT BETWEEN TIE ADDING INSURERS), AUTHORIZED
PROUYCER.AND THECEATINCATE HOLDER.
Mp0 the [MMUY mlNr b an AOOInO LINSURED. Bn Polici mlM DaaMOnW. If SUBROWTON IS WANED, objectb
Ne tmmaeN ennCNbin W IDC polq, nand, pollolaa mry Realty an mftMroL A 5Y IM an NSA laM Een IN wnM Whas u the
BnMnGane9ner and Ant ieS lac.
340 SON Center Rd
yFw 1234 -
Clawlard ON M139
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30
INALEAR — _
Amerrimn Pmmodmal Events Inc.
den TNT Flmi
P.O.Rnx1318
Florench AL 35431
n
COVERAGES
CE" RI MNUMBEN:4]34)0454 REVISION NUMBER:
THIS
IS 70 CERI THAT THE PATCHES OIL LBSURAmn, LAPSED HEI SAVE BEEN ISSUED Th) REP Pli NAMED MOVE FOR THE POLICY PERIM
INDICATED
NORTARTHESPAPOING MY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OFFER MCCUNIEW VARK PERFECT To WHICH THIS
CERIVROATE
MY BE LOBJED OR BAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN Is SUBJECT To ALL FEE MMS
EXCLUI
CONNITONS OF BEER POLICIES ENDS DRUM MY LANE BEEN REDLETO By PAiD CLAIMS
MAE
Mai
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FLOOD
11)1=11 11,112,12 1 FREE $1 MIUM
NRPAPAA
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RAFLECTI CARTER ART 12,110M
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Mm ewOfimb Hola.n ere Mdngnel Imure is THAI Benerel LlenW[y np reowred by ARAB contract elleµH m Douq Arm0, coM111OnR, and
Deipna.
CERTIFICATEHOLDER Cl 1'11001
THE EXEMPTION DARES THEANDF. N� IN
LL BE DEDVEREO
ROAD Down C!]4/ Rite Ad I C4 of Yee,
ACCORDANCE WITH THE a0i PRO *NO.
PO Bar 4]9
YOIm WA 98597
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ADDED HE AORNNI The AIMED nude and logo en gj mon, d AIMED
FIREWORKS LEASE AGREEMENT
This agreement is mode between miHV PevI¢sa lnc as Lessor and AMERICAN PROMOTIONAL
EVENTS NORTM15ST as Lessee.
I . AMERICAN PROMOTIONAL EVENTS - NW, will lease a pursue of the property located at See
Addendum "A° " for the sale of approved fireworks from the following premises (hereafter called the
"Location"$
2. The lease payment will be r year for the period of June 20' "thou JuJ1 7`" Ihenafter called
the "Season "). Payment shat) be paid on or before Mav 15111
9 Lessor agrees o grant the Lease theowned luary right to orperrate by a brownies sales fstrlcture thereafter the
"Stfucture") through the year 2012 for the above- men8oned period.
4, The Lessor hereby grants Lessee a first right N refusal to match any bona gull offer to lease the Location
for fireworks sales during the renewal Seasons.
5, In realm, Lessee agrees to the following terms and conditions:
a. Provide an A+ rated $10,000,Og0.00 ceRd'rcate of insurance prior to occupancy, evidencing liability
insurance in force additional Insured. nd rLessor shall he had harmless from any t claims �a sing tram the imantenance or insurance
operation of the Structure.
b shall guarantee) t costs hat Me Locallon erection, maintenance. and
be returned to its original condition. operation
the Structure, and Lessee
c. Obtain and pay all necessary permits and licenses required by law, post with local authority any debris
or performance bonds as required and guarantee that all laws an regulations shall be adhered to.
6. This agreement Is contingent upon Lessee securing necessary permits and licenses. Lessee may cancel such a
g000dfr im opinion of Leissee, beomesscommerccially this Location In public autherty
event anyrdeposit shall be g p'
refunded to Lessee.
Agreed to and dated this day of 2009
Accepted: 7u{.1 / -- AcceWed:
Lessor: Rob Lembrecht Lessee: Ken ih A. Spence
Thrifty Payless Inc. AMERICANPROMOTIONAL EVENTS - NW
14025 gil llen Blvd, Suite 101
Beaverton, OR 97007
Phone: 503320.7206
AMERICAN PROMOTIONAL EVENTS, INC.
2120 MILWAUKEE WAY • TACOMA, WA 90421
TACOMA (253) 22- 01he)8362930(253) Her"a9
FAX www.mtlloework ximn
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