20090158 Permit Pkg 082709L~I
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: 311 MCKENZIE AVE SE
Assessor Parcel No.: 64420700400 Subdivision:
Contractor Information:
Name: BONNIE MYERS
Address:
311 MCKENZIE AVE SE
YELM WA 98597
Contractor License No.:
Permit Ivo.: 20090158
Issue Date: 8/27/2009
(Work must be started within 180 days)
Phone: 360-458-5548
Owner:
Phone:
Expires: 0/00/0000
Project Information:
Project: OTHER SPECIAL EVENT
Description of Work: CLIENT APPRECIATION APRIL 19 -MAY 2, 2010
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(fn tt~e State of~Vashingtorll~ n
Date
Firm
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
Aug 25 09 10:17a Nail It
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360-458-5548 p.5
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Special Event S3gr3 Permit >illtn'tted to ~~ cla~rs, 4 times ~cr calendar year)
,,,_,~,,,,,, Ternp~ary !#se (property o~rrner permtssdon letter req~uire~t)
(see aE1lERaE far regulations
NAMF OF PRd~JECT
~t PPLICAN~/BUSIf-tE
Mai#irtg Address~j,~
City, St , d Z! ~
Teiephorle ~15~~'
Cii}~ ref Yeim Business
.~
517 C1i~VNER_ ~ ;.~
11,Eailing Address 3
Cify, State arld ZI
Tett~ohQne `-1 Sg--
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License Nttmbes ----
s
sr;~F PARCEL nru~tsER
I aPBmt that alt answers, sEataments and infgm~ation above ar:d subm?tted with this appiiaatian are co[nPtete acsJ
arx.urate b tt~e best of my knQwletige. i sitba affirm that i am t~ owner,o` i9e suhisct sits c[ am duiy authar'u~cf trv
Uie owner to act with aespett ro this apr,(ica3ian, i`ur;her, t grant pem:ission from the owner to any and ati
efipiayees anr~ representotives pE the Cir,~ a# Yeim ant! other gave.~~nmental agertcie3 tra enter upon and iriSPeCT
said pra reasonab:v n ry fb prpcess this apsiiration.
R~UTituG: Sp'EGi,4;. E1li;t+11- ~~ i3ufidir~g Section
TEMPQRARY USE Pianntng Section Bu~tlit~ Section
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3`olm, WA 38b9T aaroa:.cr<rvelm.tt~,~ts