IG <br /> cue... ~-~N`~' a' <br /> ~ ~ ~ ~ a s T ~ <br /> ~~8. ~ s i <br /> Parkin' S ac . - ~ - s,~~'-~-~;k . - <br /> Permit <br /> A p1i atR ! <br /> pp o <br /> Piartnin & <br /> Building. & Permit Services <br /> Please Print <br /> Applicarrt's name ~Q~. i L i~" i C: S <br /> Owner/Firm/Conaaaor Phone ~.~~2 - 5 ~ 1 C` <br /> Work to be done for C 0 ~ <br /> Vehicle. License ~/n Y i ~ <br /> Type of work to be done C~ O Yl S + . I~- (a I V1~- <br /> Location/Address of job site C~NTf~. ~t.U~ _ ~ <br /> Starting Date ~ <br /> ~ 2 ~ ZCC'~ <br /> Ending date N ~ ~ 3 , Zo0~ <br /> Permit No. _ C 2 ~ <br /> Fees $ ~ ~ ~ ~ <br /> Signature ofappticant ~/'~,"1~ r /.,~/j,~~~ ~ ~~V ~~~t C.~~,"15.-. <br /> date <br /> ~ <br /> Counter staff initials ~"L4JV ~ -PCt;,~ I 1 ~ ( <br /> ~ 1 .per ~ <br /> <br /> White: File Yellow: PCO Pink: Customer ~ ~ ~ ~ ~ C7 ~ - ~7 ~ U~ ~ " ~ $ ~`L <br /> 1 <br /> _ _ <br /> <br />