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2. Please note that pursuant to the state’s Public Records Act (RCW 42.56), documents are public records and may be subject to public disclosure. 

4. Lottery Process
   The City permits the placement of a maximum of five fireworks stands for each year's Fourth of July and New Year's sales season.
   
   The license to sell fireworks are issued to non-profit organizations, service clubs, or charitable organizations currently designated and recognized by the State of Washington as non-profit organizations.
   
   A lottery is conducted to determine the five non-profits that may apply for a Fireworks Stand Permit.
   
   Organizations interested in obtaining a Fireworks Stand Permit must first enter the lottery by submitting this application. Organizations awarded with lottery numbers 1 -5 may then apply for a Fireworks Stand Permit.
6. Lottery applications for the current year may be submitted beginning January 1 and must be submitted no later than 5:00 p.m. on January 31.
8. The Lottery
   Per municipal code, the lottery will take place on or before March 15 of each year. Winners will be notified by phone or e-mail.
10. APPLICANT
12. Name of Organization:*
13. Contact Person:*
15. Street Address:*
16. City:*
17. Zip Code:*
19. Mailing Address:
    If different than street address listed above.
20. City:
21. Zip Code:
23. Phone:*
24. E-mail:*
    This e-mail will be used to send the Fireworks Stand Application if applicant wins lottery.
26. Applicable Code
    Ordinance 2020-16

    Per BGMC 8.30.020, the license to sell fireworks shall be issued to non-profit organizations, service clubs, or charitable organizations. For the purpose of this chapter, "non-profit organization, service clubs, and charitable organizations" shall be defined as an organization designated as a nonprofit, and currently recognized by the state of Washington as a nonprofit, a primary organization with an identified and accepted public purpose, and/or an organization created and operated under the auspices of a primary organization with an identified and accepted public purpose. For the purposes of this chapter, separate chapters of an organization shall be considered the same person, firm, or corporation.
27. Proof of non-profit status *
    Please upload a document showing proof of your non-profit status.
29. Signature*
    By entering my name above, I certify, under penalty of perjury, under the laws of the State of Washington, that the foregoing is true and correct. (RCW 9A.72.085)
30. Date:*
    Date:
Leave This Blank:


33. 1. Receive an email copy of this form.
34. Email address

    This field is not part of the form submission.

35. Submit Submit and Print

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