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20090160 Permit Pkg 082709
r~ 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: ~1 ~ M(`I(GAI71G D\/G cC Assessor Parcel No.: 64420700400 Subdivision: Contractor Information: Name: BONNIE MYERS Address: 311 MCKENZIE AVE SE YELM WA 98597 Contractor License No.: Permit No.: 20090160 Issue Date: 8/27/2009 (Work must be started within 180 days) Phone: 360-458-5548 Owner: BONNIE MYERS Lot: Phone: Expires: 0/00/0000 Project Information: Project: OTHER SPECIAL EVENT Description of Work: BACK TO SCHOOL AUGUST 23 -SEPTEMBER 5, 2010 Sq. Ft. per floor: First Heat Type (Electric, Gas, Other): Second Third Garage Basement 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 OFFICIAL USE ONLY # Sets of Prints: Final Inspection: Date: By: r Aug 25 09 10:17a Nail It 360-458-5548 p.7 2ao~ D I Co n ~° ~~'~~ City ©,~ helm a Comrrzrinity DPVeloprnent Degartm.ent ~~'EC~ :~~117~'''/ ~"El'hiPQ.RAIi'Y ~'~.~ L ~'~"LICA2'IC}1~l rrnft~soti ~" S ial Event Si n Perini it P~ 9 t (lrzrtted to 14 days. 4 times fret cata~der year] ~..~„_ 'fen3p~or~tr~t ~St? 1Prti3' ~~' perrn~asion taxer rego;liedj {e$e REVERSE for regulations) ~~F t3~ NIaliing City, Stafe and Zip` , - 1~ Telephone L1,~S; -, 1 ti City of ~elnn Business Lir~rtse Number SITE 4lIVNER ~" ` i4 - ~ ~ Mailing addtess,,~i CS--~ Cify, Sta#e al~d ip Telephone S -~ SS SfTE~4t?DRESSfLC3CATl011f_ ~ t ~('~`{ Sf~'.EPARCEL JVUMBER I affirm ina# ail answers, statements and inFormation above and submitt+:d with this appliGAi;on ate com~+fete and accurate t0 tt~e best of my knowledge. i ai<b aiTirm that l am try owner ai 4`se subieCt site at am duly authorized by the r~wner to actwifh respect to this application. Further, I grant pers3vssion frorr# the owner;o any and all zmP~s and representatives of tRe ~"rq of'ieim and other goveanmen;al agencies to enter upon and inspect said prap~rty.~reasonably n?cess~ry,.tiiio Pro,~ess this appliGati4r~ ><~ t~- .7D5 Yctaa:ie~etua Ci'rst f3S01435 ~O Eicn •l7s {g671J ,[6at.+~ldd l~'A.t Y~tn, 3~,s ~A5.4?' ~unr~_e~?~Im.era.us