20040140 Permit Pkg 090904City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Applicant:
Name: CFU DBA Quizno's Sub
Address: PO Box 619
Property Information:
Site Address: 1202 Yelm Ave E
Assessor Parcel No.
Contractor Information:
Name:
Address:
Contractor License No:
City: Yelm
Subdivision:
Contact:
City:
Expires:
Phone: 360-400-7827
State: WA Zip 98597
Lot:
Phone:
State: Zip:
Business License:
Project Information:
Project: Quizno's Fall Event
Description of Work: "Now Open" sign up at corner of Plaza St until getting new sign installed.
Sq. Ft. perfloor: (1st) 0 (2nd) 0 (3rd) 0 Garage 0 Basement 0
Heat Type (Electric, Gas, Other):
Fees:
Item
---------------------------
Building Permit - Other
TOTAL FEES:
Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
----------- ----------- ----------- ----------- ----------- -------------
0.00 0.00 0.00 0.0000 0.0000 $1,000
$0.00
ApplicanYs Affadavit:
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
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.
Signature ~~~~`~~ ,~; ~~ - Date ~.~"
Firm ~`~l~ ): 7 . )~lC . ~ t~7~. ~ ~~{
Permit -vo: SE-04-0140-YL
Issue Date: 09/09/2004
(Work must be started within 180 days)
Receipt No:
OFFICIAL USE ONLY
Sets of Prints:
Final Inspection:
Date:
By:
Sep 08 04 04:03p Quiznos Sub Yelm 360 458 7827 p.2
FEB-13-2003 01:1~ re~m ~uu
Ci~y of Yelm
~ ~ Community ~evedoprreent Departneent .~
SPECIAL EVENT APPLICATION ~ FC'~~
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Maili~g Addres
Ciry, State and
Telephone 3
Mailing Add~ess
City, 5tate and Zi~
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General Location C ~~ti' ~_ ~~ ~~ ~' ~~ ~~t ~~ ! ~ - ~ `~C-~4 z .~{~
Site At3dr+ess f z~`~ ~/~~t~ .4~~t ~. Land Area {acres)
Section Township Range
Assessors Tax Parcel Number
Full legal descriptan of subject property (attach separate sheet if ~ecessary)
t a(firm that all ar~svMers. slatements and iniortnatio~ abova and submittsd with lhia apD~~ aro ~'P~e and
accurate to the best oi my knowledpe. I also aRi~m ihat I am the owne~ of the subjed site or am duy authorized by
the owner to act wlfh resped to tt-Is appllr.etlon. Furlher, I gren ~perm~s~e ftom~ ro~~ f u~ ~ Inspect
employees and repneserAntivea o( it~e City of Yelm end olher 9u eA
seld propeAy es ceesone b l y necessery lo process thls eppD~aHon. 1 apree to pey al1 iees of the cltyy thet epply to
this applicalion.
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!06 Ytfrw Avenue Wwt
PO Bwe 4~9
Yel~, WA 96597
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(86Q) 45b-81f4 FAX
mwm.ci.yeJna.~oo.ua
TOTRL P.02
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Sep 08 04 04:02p Quiznos Sub Yelm
360 458 7827 p.l
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