20070418 Permit Pkg 121907~
12/2v/?007 15:^6 FAX 3h0a1~9266 LEIdCO
DEC-19-2U07 03:53 Yplm CDD
City of Yelm
Community Development Depardnent
Building Division
Phone: (36G) d58-8407
FoX: (~e0) 4b6-3141
Appl(can~: , ~ . .' ' ~ ~ .
Name: Yslm Leundry Center
Addross: City~
Arop4rar Informlot~on; ~ ~ ' .
Site Addrose; 1010 Yelln Ave. ~
Assessor Parcel No_ 227~p11pZD4 BuhdNislon:
Cor~tractarlr~formation: ~ •.
Name: Contad:
Address: ~ City;
ContreotorLfoenee No~ Expiree:
RroJect~lnformation: ~ , . ~
ProJect; Yalm Laundry
Daoctlptlan oP Work: 2 waok cp~pl~l ~vent
Bq, f~L pe~flocr: (1st) 0 (2n~ 0 (3rtl) 0
Heal Type (EleotHo. OeS, Other);
Feee: ~ • ~ ' ~. . : ' ~
It~m tt~m Pee Base Amt Unit Fae
T~TAL P~E9: 60,00
l~jC~01/0p1
360 469 3144 P.02
Perm~t No: SE~07-0418-YL
Issue Date: 1y19/2007
(Wnrk must be eterted within 1 SO days)
Receipt No:
Phone:
Slate= Zlp
Lol:
Phone;
3taM~ ZJp:
Business LicenBe~
apfppY 0 Basement 0
un11 Rate No. Unitu Un~e ~eec
ApplicanYs~APPaclav~t:~ ~ . . .. ~ ' . ~ ~ ~ ~ ,,
I certify that I have nDad mnd examined the InMrtnatlon wptalned within the ~pplcetion and know the sama . ~~ &~~ .
!o be true and ao-rect. ( also asRly that tha proposed structure I~ ~~ ~~~~1'nily wltA ell appllCeble GN Of N,;ge~ m~.~~~. ',
reim rypulaqons incl~ding criose govoming zonln ano irnd euDtlivision, 11nd In addidon, oll eovenank9, ::. ,.,• ;~ ,
ea$emenls ond ro6trlctione 4f ~oord, If plyln ea a contravtor, I Miher certly Ih~! - om wrrenW '~ • .
nplslered h'i the Sfqte of Washinato . ~~~~ ~P~°~= ~•
.. r~ ~) d~e~c
Slg~ature ~ , Dale (l~ L/~_ • _ ~:,~ ,
rl , ..- ~ -~ . .
BY
Flrtn. . _. -. .._.- - --~--- _.. _.. .r._~..--.._~_
Tf1TAT. D n~
Cit o Yelm ~~C~OV~
y f zoo~
DEC1~
~~
Community Development Department
SPECIAL EVENT / TEMPORAR Y USE
APPLICATION
'v Special Event Sign Permit (~imited to ~a days, 4 times per calendar year)
Temp01'al'y USe (property owner permission letter required)
(see REVERSE for regulations)
~
NAME OF PROJECT ~~~~ ~~ 1~~~'~~~ s,~~c°•'a ~S
-~
APPLICANT/BUSINESS NAME ' Lci.c~ : ~
Mailing Address /~tu( ~"~a~~~.~ ~~ 2c~ ~fi//y . Su~ i e c~7 =/~l
Lue~
City, State a d Zip L r%i,t e l~I ~ 4'S~/ ~
Telephone~~i)~ ~dt~~[~~ fSU EMAIL c~ S~ 1~c° ~r ~ o~~ «,~
City of Yelm Business License Number
SITE OWNER ~~1 ~ l µ-~. Plu z~ 1 ~ C
Mailing Address 6~~l Sf rrU .~l,e.~~ ~% wr-~~
City, State and Zip wt~~c-e~ Cs ~~~~ (/'l~
Telephone EMAIL
SITE ADDRESS/LOCATION ~T If,,,~ I ~,vt N v~~ L, Su, e~
SITE PARCEL NUMBER .~ ~2 ? 3 6 ~( ~ a. O LI
SUMMARY OF REQUEST ~+~ c:. ~~~ ~ a~ u-~ ~1'~~'
~c ~
s~~r.1 '~. ~ S cccu,.ev ~ c~ w ~,,~ f~--g cc S_~ c P~~ ' c,ti i c f~~~ ~ c~
START DATE p~ END DATE ~~ U j
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 ity of Yelm and other governmental agencies to enter upon and inspect
said property a reaso bly ec s to process this application.
Signed ~~ Date ~ ~~r ~~~ 7
I'~ -~ ~36~0 ~~~~~ a~6~~-
ROUTING: SPECIAL EVENT
TEMPORARY USE Building Section
Planning Section Building Section
105 Yelm Avenue West
PO Box 979
Yelm, WA 98597
(360) 458-3835
(360) 458-3144 FAX
www.ci.yelm.wa.~is