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t' <br /> SPECIAL USE PERMIT ISSUANCE <br /> CLASS SOFTWARE CUSTOMER ACCOUNT INFORMATION <br /> Name of Organization: Seattle Outboard Assn <br /> Name of Contact: Jim Nilson <br /> Phone number of contact: 253-840-6846 <br /> Name of Event: Silver Lake Hydroplane Races <br /> Event Date: June 6th,2015 <br /> Location: TAS Silver Lake <br /> Permit#: #15-19 <br /> Total Charges; $ 12.00 (including any deposit amount) <br /> Date Money Paid by _ <br /> Description of Charge <br /> 2015 permit fee for the Silver lake Hydroplane races per city ordinance. <br /> Customer Account to be debited. Adjustment Annotation Text: <br /> Seattle Outboard Association Account in CLASS <br /> GL name(s) (in CLASS): <br /> Approved By Date: <br /> Signature <br /> Print Name Title <br /> S:\#Common\Recreation\SPECIAL USE\Special Use Fee CLASS input requests\Special Use Fee CLASS <br /> input request.docx <br /> 16 <br />