20090203 Permit Pkg 092209
City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Applicant:
Name: DESERT SUN TANNING
Address: 26027 166TH PL SE
COVINGTON WA 98042
Property Information:
site Address: 1406 YELM AVE EAST
Assessor Parcel No.:
Contractor Information:
Name: DESERT SUN TANNING
Address:
Contractor License No.:
Project Information:
Project: OTHER SPECIAL EVENT
Description of Work:
Sq. Ft. per floor: First
Second
Third
Garage
Basement
Fees:
Item
Subdivision:
Expires: 0/00/0000
Phone: 206-372-1161
Owner:
Phone:
Heat Type (Electric, Gas, Other):
Lot:
Units Fees
TOTAL FEES:
PAYMENTS MADE: $ 0.00
BALANCE DUE: $ 0.00
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 regulatio s including those governing zoning and land subdivision, and in addition, all covenants,
easements an~ r~tric ' s of record. If applying as a contractor, I further certify that I am currently
registered in t e a ~ of ashington_ _
Date
Firm
Permit ivo.: 20090203
Issue Date: 9/22/2009
(Work must be started within 180 days)
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
4 ~~ THE A~,~ Ci ty o f Ye l m
Community Development Department
SPECIAL EVENT / TEMPORAR Y USE
Y E L M A-PPLI CATION
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)
NAME OF PROJECT
APPLICANT/BUSINESS NAME `~
Mailing Address `-'~, .,
City, State and Zip
Telephone 4 EMAIL ' ~ ~~
City of Yelm Business License Number ~ ~~,
~~ .
S/TE OWNER
Mailing Address
City, State and Zip
Telephone EMAIL
SITE ADDRESS/LOCATION
SITE PARCEL NUMBER
SUMMARY OF REQUEST ~ - ~ ;- C
START DATE ~ `,;C END DATE ~ G
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
t~"owner act with respect to this ap 'cation. Further, I grant permission from the owner to any and all
employees an repres ntative of the ity of Yelm and other governmental agencies to enter upon and inspect
said pro erty s re o I ne essary to process this application.
i ne Date ~ ~
ROUTING: SPECIAL EVENT Building Section
TEMPORARY USE Planning Section Building Section
I05 Yelm Avenue West (360) 458-3835
PO Box 479
(360) 458-3144 FAX
Yelm, WA 98597 www.ci.yelm.wa.us