20070411 Permit Pkg 113007~pF THFp~ City of Yelm
~~ ~~ Community Development Department
Building Division
Phone: (360) 458-8407
YELM Fax: (360) 458-3144
Applicant:
Name: Kellie Peterson
Address: P.O. Box 447 City: Yelm
PermitNo: SE-07-0411-YL
Issue Date: 11/30/2007
(Work must be started within 180 days)
Receipt No:
Phone:
State: WA Zip 98597
Property Information:
Site Address: 308 Yelm ave. East
Assessor Parcel No. 99000114600 Subdivision: Lot:
Contractor Information:
Name: Contact: Phone:
Address: City: State: Zip:
Contractor License No: Expires: Business License:
Project Information:
Project: Gordons Garden Center
Description of Work: Cleo Cash Redemption
December 1 to 14
Sq. Ft. perfloor: (1st) 0 (2nd) 0
Heat Type (Electric, Gas, Other):
(3rd) 0 Garage 0 Basement 0
Fees
Item Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
TOTAL FEES: $0.00
ApplicanYs Affadavit:
, OFFICIAL USE ONLY 1
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 # Sets of Prints: '
Yelm regulations including those goveming 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 ' I
registered in the State of Washington. ', Final Inspection:
Date: ~
Signature Date I
- - _ _ _-- -
Firm _ _ _ gy ~
_ . - -- - - - ---- i
NOV-c9-2007(THU) 10;06 GOP.DONS GAP.DEN CENTEP
(FRX)360 d5S 8~27 P.001
~'~,~~~"~*.,~ City of Yelm
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~ Community Deuelopment Deporcmeni
SPECIAL EVENT A.PPLI CATION
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NAME Of PROJEC l,_~ , O l~~'~-~ ~~J
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APPL/CANT e-~•~
Mailing Address ~
City, St~te and Zip a 8' S`?
Telephone S - ~ EMAIL
OWNER IL~ ~
Mailing Address PQ F3an ~y1 _ _
City, Slate 2nd Zip v~.. h/A ~ 5~
Telephone ~l„~ uSR ~c~ t EMAIL _
SUMMARYOF REQUES i~ V ~~
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PF7~PERTY DESCRIPTIC~N
General Location ~ " ~ o
~3 G.~_
Sile Address Land Area (acres)
Section Township Range
Assessor's Tax Parcel Nuirber -~~~ Oo b I I ~1 (o p
Full legal description oi subjecl property (attach separate sheet i( neCessary)
I 8ffirtn Ihal all answer5, Slalement!; and informalion above and submined wilh IhiS 2ppliCalion are complele and
accurale to Ihe best o1 my know~eA~e_ I also affirm I~a1 f am the owner ol I~e subJect si~e or am du~y authorized Dy
~ne owner to aci w~th resvecl to th~.. ap0~~cation, Funner. ~ granl permission Irom Ine owner to any and a~l
employees and ~epresenlatives o( Ihe Ciiy o( Yelm and other governmeM31 agencies lo enler upon and inspect
sa~a propeny asreasonably necesa:ary to process -his applicalion, I ag~ee lo pay all Iees o11ne city thai app~y 1e
It-is applicaflon. .
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IOS 1'el~w A~•~~i~t µ~~f
PO Bor IT!
Yclm, R'A 98597
~~60) ~Sd-Jb31
(J60) ISd-JI1/ FAX
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