20050760 SE Permit Pkg 10230616/23/2666 26:52 366-458-7e72
QCT-23-2006 02:39 Yelm CDA
`lELM VETERINARY HOSP PAGE 62/62
~bU 4~C JLYZ •'~~
~' City of Yelm
~ Cemmunity Devclopment Dep~~nent
°4 Biallding pivlsi~n
Phone:(36o)ab8.8407
Fax: (~01458-314A
a.
A~p~tloan~
Name; Yelm Vetnrin2ry HnAplbl
Ciry; Y~elm
Addf2es; 1120 Ynim A~Q• ~t
pPp~Bt'l~I IhfOrRldHdli:
Sil.t~ Add~RSS: 1120 Yelttl AvA~ Wa6t
9ubdlvlsion:
As9nssatPareelNo. ~172A120AQ1
Con~+~~r Iniermatlon:
Contaci;
Name:
Clty,
AddrPSS:
E~Irns;
Contt~ccor LlGenao No;
projpdt, infbrmation:
FroJect; Yelm Veterlnary Ho9plbal
pA3crlptien of Work: Nsw Opaning Hours Eve~t Banner
3~d 0
Sq: F!. pe~floor: (1qt) 0 (2nd) 0 ( ~
H~~t Type (Electrio, Ga~, Oth~r);
Perm~~ No~ 5E-05-0760-YL
Iasu~ Date: 1012312006
(work munt ee ~taKed w~m~n ~6n eay0>
Recelpt No:
phone: 458-7707
5tete: WA 7_IP 9A897
Lol;
Gar~ge 0
Phone~
5tece; ZIp:
Buslnes~ Llcenee;
BAOemAnl o
~~' Irom Fa~ Bese ~mt UnN Fea Unlt Rete No~Units UAit Deso
Item ~.._.- -------- ~~ _~~ --~
TOTAL FE69: 50~~0
AppDcarrM~ AffadO~viE: ~- p, aGin~ U~ C1NLY
1 oertlty that I heve rQad and ~xamfned ihe informatlon oontalned wlthln N-e appllc~i(on end knaw the seme ~ S~ of Pnnfa:_,,,^..,..__
~o bn ~rue and eorcect. I alme certify that the propoaed st-u~ture is In confortnily wlth ell appllceble City of
006am Attn and rest Irl~tbn4ltof reco d rlf~applylnlg ~A ~ cont~aalAa I'fulhe oA Ny thal I~am ourrently ^~
reglslered In the Stata of Washington, Flt1~l Ip3PY6ljOfIE
3lgnature _~Alo ~ ~~_ _C V lp...,.~..., p~, ,
~~ ~ ~ l \1.~ .~ ~n v~ ~~~1~f ~-as.r~ ~r-
TOTaL P.02
10/23/266b 61:16 366-45~-7672 YELM VETERINARY HOSP P~GE 01/62
City of Yelm
°' ~' Commtinit,y Development Departm.ent~
SPECIAL EVEN7' API'LI CATI.ON
OFFICIAL US~ ONLY
''k'ELM TQN Fee NON~
Date Recelved^~
By
# of 4 for 20
LIMITED TO ~14 DAYS, 4 TIMES PER CALENDAR YEAR
NAME OF PROJECT
Mailing Ad
City, Sta~te
Telephone
Mailing Address_
City, State and Zi
~ Telephon~~L-~
SUMMARY OF REQUEST
START DA
END DATE
General Locati
Site Address ~ i ~ !
Assessor's Tax Parcel Number
I afflrm thQt all enswers, statements and information above and submitt,ed wlth xhis application are complote and
accurate to the best of my knowledge. I also afflrm that I am the owner oF thE subJecc site or am duly authorized by
the owner to act with respect to ~his applicatlon. Further, I grant p~rmis.sion from the owner to any and all
employees and representatives of tho Glty of Yelm and ot Ilca ion r I g ee'to pay all fees otf the c ty that appty co
sald prop~rty as roasonably necessary to process thls app
thls appllcation.
~ , ~ .,~d _ _ ~
,JOS Ye~m. ~Auc.nr~r. Wcst (360) 4513-dB85
P0 8nx ~79 (960) 4b8-3144 .F.4,X
YcT.m, K!9 99697 rnra,~~,.ci.yelm.wn.~ia
11/13/2b66 62:22 366-45b-7672
`~ELM VETERIPJARY HOSP
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. .~~,~„, ~ ~, Mr+1 ~c f ,1~Lf~7.~~~~.~~ `{1~9Sf'
~~~';;'~7r~,C~"~''S "~f~;~, t~6" ~. ~ ,~.
~~f~;~~,~ • r .
~ ...r~~,-.~„y .
~
YF LM VET~RINARY ~IO.SPlT,4L
1120 Yelm Ave W•Yelm, WA 98597
Email: yelmdvm@ywave.com
Phone: 360•458•7707
Fax: 360•458•7072
To: Cl • -~
Fax;
Phone:
Re: ~ Of.t~ C~
~l?-~~'Vl~
From: ~1 0~~ ~~
Pages: ~ I'1C~
P~GE 61/02
Date: (O ~ 2 ~ ~ ~ , ~U" ~ ~n
CC:
^ Urgent ^ ~Qr Review ^ Please Comment
~-~~I~ ~Q--'l-~ ~C,1,r ~ SC~1 _
Comments: ~
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