20050788 SE Permit Pkg 120806City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Permit -vo: SE-05-0788-YL
Issue Date: 12/08/2006
(Work must be started within 180 days)
Receipt No:
Applicant:
Name: Carries Critters Phone: 400-0903
Address: 201 Yelm Ave. E City: Yelm State: WA Zip 98597
Property Information:
Site Address: 201 Yelm Ave. E
Assessor Parcel No. 64400800100 Subdivision: Lot:
Contractor Information:
Name: Contact: Phone :
Address: City: State: Zip:
Contractor License No: Expires: Business License:
P' t 1 f m tion~
ro~ec - n or a
Project: Carries Critters
Description of Work: Grand Opening
Sq. Ft. perfloor: (1st) 0 (2nd) 0 (3rd) 0 Garage 0 Basement 0
Heat Type (Electric, Gas, Other):
Fees:
Item Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
TOTAL FEES: $0.00
Appncanrs Arraaavit:
I certify that I have read and examined the information contained within the application and know the same
to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of
Yelm regulations including those governing zoning and land subdivision, and in addition, all covenants,
easements and restrictions of record. If applying as a contractor, I futher certify that i am currently
registered in the State of Washington.
Signature Date
Sets of Prints: '
i
i
Firm
'~~~T~p~~ City of Yelm
,
~' `~ Community Development Department
SPECIAL EVENT / TEMPORAR Y USE
Y E L M ~l'LICATION
WASHINCTt>N
Special Event Sign Permit (~imited to ~a days, 4 times per calendar year)
TempOrBry USe (property owner permission letter required)
(see REVERSE for regulations)
~
NAME OF PROJECT ~ ~~ ~~ ~ ~~ ~ ''~~ ~~ ` ~"
APPUCANT/BUSINESS NAME ~'r~'1 .~ '~ ~ ~-
Mailing Address ~ ~U `,-c~.-~ ~
City, State and Zip ~~:... L~~ ~>S~~ 7
Telephone 1~['?r~ --GX~~ ~ EMAIL
City of Yelm Business License Number
SITE OWNER __S~'- ~'
Mailing Address
City, State and Zip
Telephone EMAIL
SITE ADDRESS/LOCATION
SI TE PARCEL NUMBER
SUMMARY OF REQUEST i,.~ L~ . - ,,; ~- z Z
START DATE - END DATE ,Z- Z~.
I affirm that all answers, statements and information above and submitted with this application are complete and
accurate to the best of my knowledge. I also affirm that I am the owner of the subject site or am duly authorized by
the owner to act with respect to this application. Further, I grant permission from the owner to any and all
employees and representatives of the City of Yelm and other governmental agencies to enter upon and inspect
said property as reasonably necessary to process this application.
Signed Date
ROUTING: SPECIAL EVENT Building Section
TEMPORARY USE Planning Section Building Section
105 Yelm Avenue West
PO Box 479
Yelm, WA 98597
(360) 458-3835
(360) 458-3149 FAX
www.ci.yelm.w¢.us