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20090130 Permit Pkg 072209City of Yelm Community Development Department Building Division Phone: (360) 458-8407 Fax: (360)458-3144 Applicant: Name: Flanagans Apple Irish Pub Address: 704 Yelm Avenue West City: Yelm Property Information: Site Address: 704 Yelm Avenue West Assessor Parcel No. Subdivision: Contractor Information: Name: Contact: Address: City: Contractor License No: Expires: Project Information: Project: Flanagans Apple Irish Pub Description of Work: Grand Opening -Sandwich Board July 23, -August 6, 2009 Sq. Ft. per floor: (1st) 0 (2nd) 0 (3rd) 0 Heat Type (Electric, Gas, Other): Permit No: SE-09-0130-YL Issue Date: 07/22/2009 (Work must be started within 180 days) Receipt No: Garage 0 Fees: Item Item Fee Base Amt Unit Fee Unit Rate TOTAL FEES: $0.00 ~~ Applicant's Affadavit: Phone: 360-400-2300 State: WA Zip 98597 Lot: Phone: State: Zip: Business License: Basement 0 No. Units Unit Desc 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 futher certify that I am currently registered in the State of Washington. Signature Date Firm OFFICIAL USE ONLY # Sets of Prints: Final Inspection: Date: By: D'l O/,~O C City of Yelm Community Development Department SPECIAL EVENT / TEMPORAR Y USE APFLICATfON ~~ Special Event Sign Permit (limited to t4 days, 4 times per calendar year) Temporary Use (property owner permission letter required) (see REVERSE for regulations) NAME OF PROJECT ~L Ili ~ Cr~+~S ~ ~ L,E ~2 l S E ~ V Q APPLICANT/BUSINESS NAME ~ sJ -~ Mailing Address E L- ~ ~ ~ EL City, State and Zip ~ .~ S Telephone ~bo ~- 3 B`? EMAIL ~ ~ A 3i-- ®L ~ 's~l'1 City of Yelm Business License Number ©~ - ~'?G'~ f C 72 ~ 3(,0 - 00 ' 2 Sad SITE OWNER QS +^/ F~hC Mailing Address . D I3cX' ~Ob City, State and Zip ~ E~-r~-r t„! A ~ ,3 5~ 7 Telephone~~o- ~'~ 7 3 3 ~ ~ EMAIL SITE ADDRESS/LOCATION ~~y: y L L~ ,A V ~ t.J . ~E`n e./~ SITE PARCEL NUMBER SUMMARY OF REQUEST 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 of Yelm and other governmental agencies to enter upon and inspect said property as easonably necessary to process this application. q Signed Date ~ / ZC`JO l pub U ROUTING: SPECIAL EVENT Building Section TEMPORARY USE Planning Section Building Section 105 3'elm Avenue West PO Box 979 Yelm, WA 98597 (360) 958-3835 (360) 958-3199 FAX wu+u+.ci ;yelm.rna.us