20070201SE Permit Pkg 053007City of Yelm
Community Development Department
Building Division
Phone:(360)458-8407
Fax:(360)458-3144
Applicant:
Name: Freedom Wireless
Address: 715 Yelm Ave. East City: Yelm
Property Information:
Site Address: 715 Yelm Ave E.
Assessor Parcel No. 22730120102 Subdivision:
Contractor Information:
Name: Contact:
Address: City:
Contractor License No: Expires:
Project Information:
Project: Ballloon and Banner
Description of Work: Balloon on lawn #1of 4
Sq. Ft. per floor: (1 st) 0 (2nd) 0 (3rd) 0
Permit No: SE-07-0201-YL
Issue Date: 05/30/2007
(Work must be started within 180 days)
Receipt No:
Phone: 458-2355
State: WA Zip 98597
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Lot:
Phone:
State: Zip:
Business License:
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: $0.00
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App~ICaf~t~$ AffauaVlt: ._. .. ., r ~.~ ,~»,.aAil " ,r ~Io7~~~.,rrii~~~~4~GM ~~ ,~Y~'~wd~llPl'aiai ~~.ro! a i ..~t'yy,a,d'I ~.~ . .` ii ir ~u.~~.t,~..~.aW~aee~`,~:~ sm ~~.~..U~
I certify that I have read and examined the information contained within the application and know the same ' OFFICIAL USE ONLY i
to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of # Sets of Prints: ~
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. Final Inspection:
Signature Date Date:
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Firm BY~
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City of Yelm ~'9~~~~°~;~~
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~/ ~t~ Community Deuelopment Department
SPECIAL EVENT A.PPLICATION
OFFICIAL USE ONLY
YELM
WASNINGTON Fee NONE ~
Date Received
By
# of 4 for 20
LIMITED TO 14 DAYS, 4 TIMES PER CALENDAR YEAR
NAME OF PROJECT~~ M(~(~C-r ~~ (~(l.C
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APPUCAN ? '' 1.~7~ ('~ ~
Mailing Address ~ ~ ~
City, State and Zip ~~ ' AlYI Z
Telephone EMAIL ~ C
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OWNER i ~ ~. CX '
Mailing Address - , 40
City, State and Zip - ~i l~~}' 2
Telephon ~ 0~ - a I EMAIL
SUMMARY OF REQUEST l ~ ~1
START DATE ~
END DATE l.a
PROPERTY DESGRIP ION
General Location Ifl"~~fl~ (~' ~~,~~ ~ l'~(1 ~-~.Q~ i~~~3~
Site Address I~ S YYI . ~-- 5crlfi~ I
Assessor's Tax Parcel Number
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. FuRher, 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. I agree to pay all fees of the city that apply to
this application.
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Signe , ', Date~ I ~~~~~
]05 Yelm Auenue Wesi (360) 458-3835
PO Box 479 (360) 958-379-1 FAX
Yelm, WA 98597 mcvw.ci.yelm.wa.us