20050753 SE Permit Pkg 101706City of Yelm
Community Development Department
Building Division
Phone:(360)458-8407
Fax: (360) 458-3144
Applicant:
Name: Yelm Shell
Address: 706 Yelm Ave. East City: Yelm
Site Address: 706 Yelm Ave East
Assessor Parcel No. 22730110201 Subdivision
Name: Contact:
Address: City:
Contractor License No: Expires:
Project Information:
Project: Yelm Shell Grand Opening
Description of Work: Grand Opening Banner..#2 of 4.. Start on 10-23-06
Sq. Ft. perfloor: (1st) 0 (2nd) 0 (3rd) 0
Heat Type (Electric, Gas, Other):
Permit No: SE-05-0753-YL
Issue Date: 10/17/2006
(Work must be started within 180 days)
Receipt No:
Phone: 360-789-4884
State: WA Zip 98597
Lot:
Phone:
State: Zip:
Business License:
Garage 0 Basement 0
Fees:
Item Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
TOTAL FEES: $0.00
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 ~v ~~~2'
Firm
L
# Sets of Prints:
Final Inspection:
Date: I