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KTTTITAS COUNTY FIRE X,,4RSH AL'S OFFîCE4t I N. Ruby Sr., Suire 2, Ellensburg, WA 9g92ó <br />ofïìce (509) 962_765? Fax (s09) 962-7682 <br />Fire &4arshal,,SpeeÍatr Everlg/4ssernbtryee FerffirÉ <br />$ nvent Permit ¡ Title ofEvent; <br />zCI <br />Pôysic¡l l-ocation of Eveni:3Þt PlätJ. D <br />otL Plul *(sne*-r t urø14 a^-* l0,p¡-iri(L,w 6bm w4 E Iodoors Fíootdooo <br />#:oÇ *t.{-Y <br />Mailing Adihcss <br />Pbo¡re f: <br />Cjty <br />7ú..43UJ <br />zb <br />Oell #r .f75- <br />tl Initlat E Renewal <br />Åpplication Date: <br />Datcs/Tiocs of Evint:I <br />Event Coo¡dirsto, : <br />Pb/6i0.¡ <br />Specifi c Use of Builöing: <br />E <br />æ) <br />@ernanent) <br />Assessor's l\{ap f: <br />Phonc #: <br />Ccll#: <br />cltv <br />ßr¡oil:sr zip <br />Pùoæ#: <br />Cell#; <br />ciry <br />Emif;sr 7-v <br />TIJEr WED:TITU:fRI:SAT:Speclfic of OperadonlEvent:for(Require¿both <br />NO Alcohol Sorved?NO Live Entertainme¡t?Security Or Sit€?NONOTenæ? #of YES <br />NO <br />Stages? #of IPhon¡ #: <br />A.)ıo q b71 bsfi Ptooe f: <br />Afterlfo[r¡: <br />q <br />Print Name: <br />Sig¡afure: <br />A <br />D <br />Owner lAuthañz¡Å Agent <br />Versio¡ 2009.2