20090156 Permit Pkg 082709
0
City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Applicant:
Name: BONNIE MYERS
Address: 311 MCKENZIE AVE SE
YELM WA 98597
Property Information:
Site Address: X11 MC_KFAI7IF AVE CF
Assessor Parcel No.: 64420700400 Subdivision:
Contractor Information:
Name: BONNIE MYERS
Address:
311 MCKENZIE AVE SE
YELM WA 98597
Contractor License No.:
Permit No.: 20090156
Issue Date: 8/27/2009
Phone: 360-458-5548
Owner: BONNIE MYERS
Phone:
Expires: 0/00/0000
Project Information:
Project: SPECIAL EVENT
Description of Work: GRAND RE-OPENING NOVEMBER 27 -DECEMBER 10, 2009
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Lot:
Fees:
Item Contractor Fees
SE BONNIE MYERS $ 0.00
TOTAL FEES: $ 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 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 i the State of Washin n.
p~.,
Sign ure ~G~~-'~-+ tx~C ~--~ Date ~ ~ ~ „~~ ,~~
Firm
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
Aug 25 09 10:16a Nail It
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NAME OF PRC}JECT ' _ -- ~ ,
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Mailing Address. 1 `~ ~ + ~•
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City, Sfat+e and Zip - , _ •.S "7
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SITE PARCEL 1VtJli?8ER
SiJ164MARX OF REQUEST
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! affrrrn That al[ answers, statemerds Arad information sbiaane and s~brra![1ed with this application ars complete and
acci:rat? to the best of my knowledge. I also affirm that 1 am t!'e ovrner a`the sttbject sib it am Guiy au~tor'ized By
the rawrter to actwifh rasped to ibis application. =autl'fet, !grant pem,issior from the owner to any and al!
empkayees and representsiivcs at itae City of Yelm and other govesn[aten:af agencies ire enter upon and irtspec:t
said pr a reasonably rt to process dais application.
S~n~ - ~ Date
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