20090163 Permit Pkg 090309City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Applicant:
Name: SAARS MARKET PLACE
Address: 32199 ST RT 20
OAK HARBOR WA 98277
Property Information:
Site Address: Qf16 Yt=1 M AVGAII IG GecT
Owner: SAARS MARKET PLACE
Assessor Parcel No.: 22730110204 Subdivision:
Contractor Information:
Name: SAARS MARKET PLACE
Address:
32199 ST RT 20
OAK HARBOR WA 98277
Contractor License No.:
Permit No.: 20090163
Issue Date: 9/03/2009
(Work must be started within 180 days)
Phone: 360-458-5854
Phone:
Expires: 0/00/0000
Lot:
Project Information:
Project: OTHER SPECIAL EVENT
Description of Work: ROCK BOTTOM PRICES TRAILER WITH BANNER SEPTEMBER 3 - 17, 2009 SEPTEMBER
18 -OCTOBER 2, 2009
Sq. Ft. per floor: First
Second
Third
Garage
Basement
Fees:
Item
SE
Heat Type (Electric, Gas, Other):
Contractor
SAARS MARKET PLACE
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
registered in the State of Washington.
Date
Firm
Fees
$ 0.00
$ 0.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
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Speciai Event Sign Permik (lirnited to •t~€ days, a times per calendar year)
'femparary l,1se (property owner permission letter regt~ire~d)
(see REVERSE for regulatialns) Qi~Q ~ ~ ~~fi
NAAAE OF PROJECT ~~i~ ~t'~`~~~-~ ~/'L c' t2" 1'
APPLfCANT/BUSIN~S NAIVj,~~,~ ~~~' 1 •L ' ~
Mailing Address ~ ~ ~ ~x ~ ~ ~7 ~/ ~, `~C-
Ci#y, S#ate and Zip t~~~'-C,~.~. ~~~- _.~L~ 5_>
Telephone 3foFJ ~~TS~, "' EMAIL
City of Yelm Business License Pdumber~~<< ~ o,,, ,~, 1P'~2~`
SITE QWNER _
Mailing Address __^~_ _~~V
City, State and Zip______~~_^~~
Telephone _____ Ei`.~f~l~.
SITE AL?QRESS/LC>CATiC-N
SITE PARCEL NUMBER ~~
SUMMARY OF REQUES3_~~_ :~~ / ~ ~p ,~
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START i.?ATE c7 (.J ~ENf3 DATE _ ~S~ ~f-
affirm than all answers, st3temer~ts and inhxmaticn above anrt tron~u~ecl with this ar,p6ration are complete and
acci:rate to the best of my kncFVledoe. i also aff+rm that i am ~.e owner c,f the suhiect site rr am duly aut?~onzed by
the owner to act with respect to this application. Fr!rher, !grant pPrrNssar: From the owner to any and alR
employees and representatives of ?he Cii~,~ of'~elm and other o:,vesnmer.ta! 3yencies to enter upon and insaect
said pro as asonably ne ry to process this application.
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~GUTiNG: SPEt:.IAL EVi=NT ~__ E?wfoing S?clicn
TEMP+3RARY USE _ Planning $e,;kion Building Section
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