20050761 SE Permit Pkg 102406City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Applicant:
Name: O-W Dash Book Store
Address: P.O. Box 884
Property Information:
Site Address: 305 First Street South
Assessor Parcel No. 64420200100
Gontractor Information:
Name:
Address:
Contractor License No:
Project Information:
Project: O-W Dash Book Store
Description of Work: Special Event/Temporarry Sign
Sq. Ft. per floor: (1 st) 0 (2nd) 0
Heat Type (Electric, Gas, Other):
F
City: Rainier
Subdivision:
Contact:
City:
Expires:
(3rd) 0
Permit No: SE-05-0761-YL
Issue Date: 10/24/2006
(Work must be started within 180 days)
Receipt No:
Garage 0
ees. ~, : ~: x~r .~:. .~.: ~w,
Item Item Fee Base Amt Unit Fee Unit Rate
TOTAL FEES: $0.00
Phone:
State: WA Zip 98576
Lot:
Phone:
State: Zip:
Business License:
Basement 0
No. Units Unit Desc
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
OFFICIAL USE ONLY
of Prints:
Oct 23 06 03:59p Property Solutions LLC 360-400-3263
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SP£CIaLL EVENT
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Date Rece~ve0
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LIMITED TO 14 DAYS~ 4 TlMES PER CA~ENDAR YEAR
NAME OF PROJECT
Mailing Address
City, State and Zip
Telephone~~~~~- y,;~ -
O WNER
Wlailing Address
City, State and 2ip
Telephone EMAIL
SUMMARYOF REQUEST
_ '~` ~ ~' . ;
START DATE
END DATE
PROPERTr DES
General Location
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Site Address
Assessor's Tax Parcel Number ~i / y 7,~ -~ ,~ , ,
f aN,rm tnat a-I answers sta~emen:s and ~nformat~on above anC suDmme~ wnn ~n~s a~pi~cai~on are coT~~ce a~~
accurate lo Ine Dest of my knpwiedoe I aiso a'f~rm tnat I am t~e ovv~er at the s~D~e~t s~te or aT ouiy autncr::e: ~y
tne owner to aC, w~th respect to t~~; a~pl~cat~~n Furtr.er, t orant perm~ss~on ~rorr. ;ne ewner to any ;nC an
emp~oyEes anC •epresernai~~es of tre C~~y o1 Yeim anQ 01~E~ OOvEfnmEr.!al a~EnCiES tc er,~er ~~on a~~ ,ns;e,-
sa~d propeRr as reasonao+y nECessary ~o Crocess tn~s aoel~caaon ~ a_ree t~ p2V a~i ~EES ol ine c:ty t~ai ~;;,~p ~~
:~~s appl~c ~o
Signed
~~~
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