20090122 Permit Pkg 062909City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360)458-3144
Permit No: SE-09-0122-YL
Issue Date: 06/29/2009
(Work must be started within 180 days)
Receipt No:
Applicant:
Name: Gordons Garden Center Phone: 360-458-2481
Address: City: State: Zip
Property Information:
Site Address: 308 Yelm Avenue East
Assessor Parcel No. 99000114600 Subdivision: Lot:
Contractor Information:
Name: Contact: Phone:
Address: City: State: Zip:
Contractor License No: Expires: Business Li cense:
Project Information:
Project: Gordons Garden Center
Description of Work: Cleo Cash July 1 thru July 14, 2009
o
`• Sq. Ft. perfloor: (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
Applicant's Affadavit:
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:
JUN-29-2009(MON) 16;12 CORDONS GRRDEN CENTER
(FA~)360 458 842T P. 001
of THF~ ~ City of Yelrrt
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.Community Development Department
SPECIAL ,EVENT APPLICATION
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NAME OF PROJECT C~IEO C~S~( .
aPPUCanrr ~G ~ ~'
Mailing Address D
City, State and Zip
Telephone r EMAIL, 6 ~
OWNER ~ ~ f'
Mailing Address J
City. State and Zip ~:
Telephone EMAIL
SUMMARYOF REQUEST
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PROPERTY DESCRIPTION '
General Location ~ ~' ~ ._ /o ~
Site Address Land Area (acres) ,
Section Tvw>•tship . Range
Assessor s Tax Parcel Nutrtber ~ g 000//6. D ~~~,r
Full legal description of s>abjeci property (attach separate sheet~i(~rtecessary)~
I arrnn Inal all answers. statement!; and information above and submitted with this application are cnrnplele and
accurate to the best of my knowle0~e. I also alfum That I' am the owner of the subject silt or am duly authorized ey
the owner to aC1 wittl respect to this. applicatiort. Further. I grant permission Tram the owner t0 any and all
employees and representatives al the City of Yeim and other govemmQntal agencies to enter uppn and inspect
saga property as reasonably paces .ary to process this application 1 agree to pay all fees of the city that apply to
this application,
~Signe4 ~ ^ate
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!03 Yrlm A~'cnp~ N~^f r360f ISA-3BJf
PO Box ~%! fJSO) Iib31N FAX
Yelps, Hit 98597 u•rru-.cl;vrlm.rr•o.ua