20090206 Permit Pkg 100509City of Yelm
Community Development Department
Building Division
Phone: (360)458-8407
Fax: (360) 458-3144
Applicant:
Name: EMANUEL LUTHERAN CHURCH
Address: 206 THIRD ST SE
YELM WA 98597
Property Information:
Site Address: 7(1R RRI~ STREET SF
Assessor Parcel No.: 64420800100
Contractor Information:
Name: EMANUEL LUTHERAN CHURCH
Address:
206 THIRD ST SE
YELM WA 98597
Contractor License No.:
~ Project Information:
Project: OTHER SPECIAL EVENT
Description of Work: BIZZARE BANNER OCTOBER 9 - 10, 2009
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item
SE
Contractor
EMANUEL LUTHERAN CHURCH
TOTAL FEES:
Applicant's Affidavit:
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 further certify that I am currently
Firm
Permit No.: 20090206
Issue Date: 10/05/2009
(Work must be started within 180 days)
Phone: 360-458-3861
Owner:
Subdivision: Lot:
Phone:
Expires: 0/00/0000
Fees
$ o.oo
$ 0.00
ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
Zoo~o ~~
4 ~~ THFp~~~ Ci ty o f Ye lm
Community Development Department
SPECIAL EVENT /TEMPORARY USE
Y E L M APPLICATION
WASHINGTON
Special Event Sign Permit (limited to 14 days, 4 times per calendar year)
Temporary USe (property owner permission letter required)
(see REVERSE for regulations)
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NAME OF PROJEC ~,~,~'~ ~''~ `~.~ Ste. cd~ ~d ~ /J
APPLICANT/BUSINESS NAME
Mailing Address ~?~~~h~ S f-
City, State and Zip_ ~, j ,~ f ~~ ~
Telephone MAIL
City of Yelm Business License Number
S/TE OWNER ~ G e '` ,I. ~
Mailing Address
City, State and Zip
Telephone EMAIL
SITE ADDRESS/LOCATION
SITE PARCEL NUMBER
SUMMARY OF REQUEST /' "
START DATE rC~~- ~-U ~ END DATE l~ ~O-O',q
I affirm that all answers, statements and information above and submitted with this application are complete and
accurate to the best of my knowledge. I also affirm that I am the owner of the subject site or am duly authorized by
the owner to act with respect to this application. Further, I grant permission from the owner to any and all
employees and representatives of the City of Yelm and other governmental agencies to enter upon and inspect
said property as re onably necessary to process this application.
J
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Signed ~Qi Date ~.~ Jr ~~
ROUTING: SPECIAL EVENT Building Section
TEMPORARY USE Planning Section Building Section
105 Yelm Avenue West
PO Box 479
Yelm, WA 98597
(360) 458-3835
(360) 458-3144 FAX
www.ci.yelm.wa.us