Laserfiche WebLink
K']-].I]"AS COUN]"Y F}}ìE hfARSH AÏ-'S OI--FICE4 I I N. Ruby Sr., Suite 2, Fllensburg, W A gggl() <br />Office (509) 962_7657 Fax (509) g('2_.t682 <br />Frxe Vlarshatr Grspeeial trvemÉl,4sseluhË ye, Werrffiñt <br />Event Permif <br />Plysical l"ocalion of Evenr:3Þl <br />Maili¡g AddË¡s <br />Ð Specifc Use of Buitdiag: <br />Pboæf: <br />1ìlle ofEve¡l; <br />t1 <br />Èo ùh; <br />a* l¿ pÌút{ +C,6'n AJ/+ e¡Á* oqPldl,p- Ðr¡(L, ch- 6b,n N/t %?a <br />Pbo¡e il: <br />City <br />3ú.. ?3tÞ <br />fi zîp <br />Assessor's Map #: <br />tÐ <br />u Indoors Fíoutdoorc <br />Cell f:2.5+5b <br />{a^r¿ <br />Cell #: <br />E Initíal El Rer¡er.val <br />Date; <br />DarclTimesofEvenr $ <br />Evenl Coordi¡ator <br />Påyir¡."1 <br />M¡ilþi <br />cltv <br />Eo¿iI:sr zp <br />Phone#:ce!t: <br />tt <br />w E¡¡f,:sr np <br />TUE:WED:TITU:TRT:sAT:Specifc ofDeærþdon OperationlDvelt:for both(Require.d permitc) <br />Food.lBeverage?NO Alcohol Served?NO Live Ent€rtainment?NOSecurity On Site?NO Tenfs? #of YES <br />NOStages? #of tCo¡tÀcl:Emergency <br />Pho¡e #: <br />A)L<ncc q (e 71 bsfiıo <br />åñc¡ Hou¡s; <br />Phôtre #:4rþ <br />Print Name: <br />Agent <br />/1(,o |x|+C <br />D1 23 l <br />owaer / <br />Signatuie: <br />Ve¡Eion 2009.2