20070236 SE Permit Pkg 06150765/17/20~7 23:56
JTTN 14~ 2007 20:13
~il~/ Of Y@~~I'1
YELM PE
Community Development DepArtment
BulldOng blvi~Pon
Phone: (~so) 458-eaa~
PBx: (860) 45H-31d4
Appticon~L
NamA; Yalm Roal Estate
Addlnnn; p,0, Box 1024
Properly Infwmation:
~Ita Addre56; 715 Ye+lm Ave. E
Assa4gnr Parcel No. 22730120102
Contrattor Infertnatbn:
Namo;
Addroo~:
Co~ttracte~ i.icense No;
Prpj~ct hd'otwttatlon:
Project: Yelm Real ~stste
DczcrlptlGn oF Work; 6rpnC OpeNng Sppclal Evon!
Sq, Fl, p~r Iloor; (1sl) 0 (2nd) 0
He91 type {EleCtric, Gaa. Other)~
Fcr~;
City: MokennA
6ubdivision;
contPCt
City:
~xpires;
(3rd) D
Ii~m It~m Fae BaSA Am! Unlt Fee
TOTA~I, FEES: ~4,00
F~GE 61
?6n 6~8 31dd P. r12
werm-t ~-o; SE-07-0236-YL
Issue Date; 06/1S/20Q7
(Work must tre startod within 1~U d2ys)
Receipt No:
Ph4ne; ~00-9358
Stale; WA Zip 88658
LOt
Pherte:
StatA' ~ip;
6Ubif1e9R Lif,'8~!4Q:
G~raqe o Basement 0
Uni( Rate No, Units Unit Desc
Appll~8nt'~ Af'~lavit:
1 r.ertify tA~t I hsve read and examined the irrtomlatio~ cqnlQlll~tl wtthln the applieatlOn antl knOW the sam9
~o b~ Irue and ee ~ I~O Certify tNdl lhe propOfl~d ~tnJCtut(~ IB In oDnfornllty wRh a11 applicabin GI-y pf
VQIn~ regul~ includ r.q povnml~p zoning and,~and subdlvlg~on, A~d I-1 AQtlltlon, ~11 CoVen~qt5,
r+an4i~~~ Btrl Of19 Of noord, If ~pplying ~s a contractflr, 1 futh~f C~11Ny 1~t I am oufrently
~9~nta 1. fit qf War~ ington.
Signatur pate ~~ ~
Fl~rn Q~/Y1 /S~~ F ~ C'lYl !D
3504587549
Xelrn CDD
~t Sclx ot.prlntn_~~_
Flnot ~rrip~ctbrl:
D2Qe;
ey:
66/12/2067 66:49 3664587549 VELM RE PAGE 61
CL t~ O~ YG-l.l'12
~; ~ .~...~.
Communi.ly .Developrrcent ~epartmerit
~~_~' S~'~L ~C'.~AL ET'ENT / 7'E~PO:RAR X IJ~E
AP.FLICATION
. o„
~~N 7 ~ zoo~
Sp~~Ci~l ~vent ~ign Permit ~Ilmited to 14 days, 4 tlmes per calendar year)
Ternp~orary Use (property owner permission l~tte~ requlred)
(see REVERSE f~r regulations)
NA1W-E 0~' PROJECT ~ ~ ~ /~Ll_v'_C_
Mailing
City, State and Zip
Telephbn~~~~(~^ ~,S`~
City of Yelm Business License Number
Mailing Address G-~,
, City, State and 2ip
~ Telephone ~
S/TE AdDRESS/LOCi4
SITE PARCEL
SUMMAR~' OF REQUEST
S TAR]~ DA
~
~
DA TE
I aKrm thAt all answers, statements and information ebove~ end submitted wflh this applfCation are complete a~d
accurate to th~ best of rriy knowledgE. I elso affl~rn ~hat I am th+~ dwner of the subject slte or am duly auihorized by
th2 owner to act wfth respect to this application. Further, I grant permisslon, f~om the owner to eny and aN
employees esentatives of the City of Yolm and other govemmental agencies to enter upon and inspect
said prop y s f s nably necessery to proc@ss this appllcatlon.
Signed _ date ~ // ~ / ~ ~
RouTrrv~; SPECiA~ ~VENT
TEMPORARY USE
` _~
Building SeCtion
Planning Section 6uilding Section
lOb Yc/n- Auenur Wcet
PO,J;oe a79
Yclrn, WA .98699
(360) q6&8886
(A60) 468.314~ FAX
-owu,~.ci.ycl rri.. wa. us