20090135 Permit Pkg 072809City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Permit No: SE-09-0135-YL
Issue Date: 07/28/2009
(Work must be started within 180 days)
Receipt No:
Applicant:
Name: First Baptist Church Phone:
Address: City: State: Zip
Property Information:
Site Address: 602 103rd Avenue SE
Assessor Parcel No. Subdivision: Lot:
Contractor Information:
Name: Contact: Phone:
Address: City: State: Zip:
Contractor License No: Expires: Business License:
Project Information:
Project: VBS Banner
Description of Work: Banner to announce VBS on builidng facing north.
July 28, 2009 through August 5, 2009
Sq. Ft. per floor: (1st) 0 (2nd) 0 (3rd) 0 Garage 0 Basement 0
Heat Type (Electric, Gas, Other):
Fees:
Item Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
--------------------------- ----------- ----------- ----------- ----------- ----------- -------------
Building Permit -Other 0.00 0.00 0.00 0.0000 0.0000 $1,000
TOTAL FEES: $0.00
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 propose structure is in conformity with all applicable City of
Yelm regulations includi hose governing zo n and land subdivision, and in addition, all covenants,
easements and restr' io f recur If ap as a contractor, I futher certify that am currently
registered in the to ashin n.
Signature ~ ~ ~~ Date
Firm
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
ay:
Of TRF pip
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d
YELM
WASHINGTON
City of Yelm
Community Development Department
SPECIAL EVENT /TEMPORARY USE
APPLICATION
V Special Event Sign Permit (limited to 74 days, 4 times per calendar year)
Temporary Use (property owner permission letter required)
(see REVERSE for regulations)
NAME OF PROJECT ~/~.~ ~ ~~~~-ti ~ ~, .J `~' -~ (-~~Y--~
APPLICANT/BUS/NE $ NAME ~~ r
Mailing Address , G', /~;,~ ._"c'-yG'
City, State and Zip " Gc/ ~
Telephone ~ ~ -' ~~ - ~- ` EMAIL =~C ~ ~ .~ r -- -, ~~ ~
City of Yelm Business License Number /Yc•,.; ~ ~ ~ i<'~ ~
SITE OWNER
Mailing Address
City, State and Zip
Telephone EMAIL
SITE ADDRESS/LOCATION
SITE PARCEL NUMBER
SUMMARY OF REQUEST '~~ ~ ~ ~ ~ t~ ~^~- ~-%,~ t.-v>/ ~ ~ ~ °~~
START DATE ~ `~~' END DATE ' ~~
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
the owner to act with respect to this application. Further, I grant permission from the owner to any and all
employees and representatives of the City f Y m and other governmental agencies to enter upon and inspect
said property a~'son ly nece ary ess this application. _
~~~~c' ~
Signed - /!~~ =~ Date__~
ROUTING: SPECIAL EVENT Building Section
TEMPORARY USE Planning Section Building Section
r/~
105 Yelm Avenue West (360) 458-3835
PO Box 479 (360) 458-3144 FAX
Yelm, WA 98597 www.ci.yelm.wa.us