20070037 SE Permit Pkg 020507City of Yelm
Community Development Department
Building Division
Phone:(360)458-8407
Fax:(360)458-3144
Applicant:
Name: Casa Mia
Address: P.O. Box 1200 City: Yelm
Property Jnformation:
Site Address: 134 Praire Park
Assessor Parcel No. 99002058849 Subdivision:
Contractor Information:
Name: Contact:
Address: City:
Contractor License No: Expires:
Project Information:
Project: Casa Mia
Description of Work: Valentines Special Event Banner
Sq. Ft. perfloor: (1st) 0
Heat Type (Electric, Gas, Other):
Fees:
Item
TOTAL FEES:
ApplicanYs Af~adavit:
Permit No: SE-07-0037-YL
Issue Date: Not Issued
(Work must be started within 180 days)
Receipt No:
Phone: 400-2277
State: WA Zip 98597
Phone:
State: Zip:
Business License:
(2nd) 0 (3rd) 0 Garage 0 Basement 0
Lot:
Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
$0.00
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 'I
---
-- -- _- -- -_ _--------
Firm ------- - I B,
of Prints:
Feb 06 07 12:49p
FEB-18-2003 00:20
Terry Cole
Yelm CDD
400-3133 p.l
360 458 3144 P.02
Community Development Departrn.ent
S~'ECIA.E EYEIITT A.P~LICAx''IQN
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NAME OF PROJECT , =~ - -~ ~ ~~~ -~ - ,-
APPLICANT ` ' ~ ~ ~'a
Mailing Address , ~-~ ~
Ciry, State and Zip - ~ ~..~ ~ `i ~_~ `~~ ~
Telephone ~ ~'~~ - a ~1 EMAlL
OWNER ~~ ~ -~
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City, State and Zip~ ( r~ ~ t.~ ./-~ `i k~`'i `7
Telephone EMAIL
SUA~lI~ARY OF RIEQUEST
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PROPERTY DESCRlPTION
General Location I~~-~ i~~' ~~-, ~ ~~ l~
Site Address Land Area (acres)
Section Township Range
Assessor's Tax Parcel Number
Full legai description of subject property (attach sepa~ate sheet if necessary)
I a~irm t1~at alt answers, staEemen#s end informa[ion above and submitted with this application are complete and
ac~urate to the be5t of rny knowledge. I also affirm that I ern the owner of the subject site or am dufy authorixed by
the owner to ect with respect to thts appllcetlon. Furtfier, I grant peRnission from the owner to any and all
employees and representatives of the City of Yelm and other govemmental agencies to enter upon and inspect
said property es reasonably necessary to process this appli~ation. 1 agree to pay all faes of the clty that apply to
thls appltcation.
Signed J L~c!~ Date '~ ~ ~~--`~ ~~-
~
l06 Yelm. Auenae Wast (860) 4b8-9896
PO Bos 479 (360) 45&9144 FAX
Yelm, WA 98597 tutr~m.eLyelrre.wa.ies