20070347 Permit Pkg 091707 Y~pF T~ p City of Yelm
~ ~ Community Development Departmerrt
~
Building Division
Phone:(360)458-8407
EL Fax: (360) 458-3144
Applicant:
Name: Hand-n-Hand Preschool
Address: 15827 Yelm Terra Way SE City: Yelm
Property IrHormation:
Site Address: 602103rd ave. NE
Assessor Parcel No. 22730110102 Subdivision:
Contractor Information:
Name:
Contad:
Address: City:
Contractor License No: F~cpires:
Project Information:
Project: Hand -n-hand Preschool
Description of Work: Banner advertizing school
9-24 to 10-5
~ Sq. Ft. perfloor: (1st) 0 (2nd) 0 (3rd) 0
Heat Type (Electric, Gas, Other):
Fees'
• ~ ... ~. . .~~ H.
Item Item Fee Base Amt Unit Fee Unit Rate
TOTAL FEES: 50.00
Permit No: SE-07-0347-YL
Issue Date: 09/17/2007
(Wor1c must be started within 180 days)
Receipt No:
Phone: 400-2612
State: WA Zip 98597
Lot:
Phone:
State: Zip:
Business License:
Basement 0
Garage 0
No. Units Unit Desc
I certify that I have read and examined the information contained within the appliqtion and know the same
to be true and comect. I also certii~r that the proposed structure is in conformity with all applicable City of
Yelm regulations induding those goveming zoning and land subdivision, and in addition, all covenants,
easements and restridions of record. If applying as a contrador, I futher certify that I am currentty
registered in the State of Washington.
Signature ~L..~ 9 r ~-f~.~G.~- Date Cj~-/
Firtn G-,~„Q~" ~ ~1 _ .~ ~.~-1'1-
# Sets of Prints: I
Finallnspection:
Date:
By:
= S~~Ci~# Ev~nt Sa(~t1 1~BCTnlt (Iimited ta 1d days, 4 times per calender year}
Tempor~t'y Use (property rswner permission Eettsr requiredj
{see REO/~RSE far reguiatic~ns)
1 •f1IMl~ L/~ /-RVeF~I~ ! !'~._i ~~~ ~I.i..o.,f. ! ~ ~ I .. Y •~f.l ~j" ti~ ~r~.. 7`a.. ~'~ _. ,r..~
.. .
AFP~ICAMT/BL1SlNESS lVAME r? - ..~ -- ~ . r~ ' ~ ,~
Mailing Add~ess f , '~'i ~~r',~. 1 ~ ,-~--~„ ,~;.,_.~•~.~. _ ~ - %~~
City, State and Zip ~ ~ .~`~ ~ i ~' /~ "" -~% ~ ~
Telephone~~~-t,_ ,~'C~4, ,_ ,~: f Z EMAfL C- -~~. s-,~,~ ~-; r'c"~.f~ ~'u.-,~,_~_ .c'~~ i~
City of Y~Im Business ~.icense Nu~rtber ~ 7-~~~~ l.'h T.`~ ~%
SITE C?WNER ,- : ~- ~ ~ ~ ..- _ -` ~ _ . ~ ~_ r'. _
Mailing Address~,~,~~,~7 ~
City, State anti Zip
TeEephone ~` ~c~ _ ~ _ , ~:•-` ~' EMA1L
S1TF Af)~RESSILDCATION ~ ~ ~ ~.=5 ~ ,- ~' ,~ ~ t~ ~ ' r~~
S/TE PARCEL NUMBEFt
SU1Ul~1fARY OF REQi~EST _.. t )c_ ;:. ,, . -.
j <` >. r.
STAl4T L)~t7"E c: _ c:- .:~ / EMI) faATE ir.S ',~;. ~.: _.~ 1 f
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i affrrtn that ali answers, statements ancf infarmation atrove and submitted with this application are complete and
accurate to the best of my knowledge. ( aisa affirm that I am the ov4mer of the s~bject site ar am duiy authonzed by
the oxmer to act with respect to this applicatian. Further, 1 gra~r[ permiss'son ftom the awner to any and a1i
emplayees and representatiues of the Gity of Yetm and ather govemmental agsnces to enter unon and inspect
said prope~as reasoaabty necessary to process this application.
/ ,{
Signed:--' -~^-c~l.~,~- ~' ,:-~-C,~---c_~yL.~~. Date ~/ ~~`1 G%f ~
RQUTING: SPECIAL EVEAlT Suiiding Section
FEMPORARY USE Flanning Section Building Section
If15 }edm _4venue West (36~J ~a8-3835
PO Iiox 473 (3fi0) ~38-3Z=1-# F~1;1:
~'efm, WA 98599 u~rcxr.ei.yet~n.urtt.tcs