20090112 Permit Pkg 061709~~
City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360)458-3144
Applicant:
Name: Creators Group
Address: PO Box 74
Property Information:
Site Address: 103 507 Hwy
Assessor Parcel No.
Contractor Information:
Name:
Address:
Contractor License No:
City: Yelm
Subdivision:
Contact:
City:
Expires:
Project Information:
Project: Summer Solstice Celebration
Description of Work: Summer Solstice Celebration Banner
Sq. Ft. perfloor: (1st) 0 (2nd) 0 (3rd) 0
Heat Type (Electric, Gas, Other):
Fees:
Item Item Fee Base Amt Unit Fee
--------------------------- ----------- ----------- -----------
Building Permit -Other 0.00 0.00 0.00
TOTAL FEES: $0.00
Permit No: SE-09-0112-YL
Issue Date: 06/17/2009
(Work must be started within 180 days)
Receipt No:
Phone: 360-458-1311
State: WA Zip 98597
Lot:
Phone:
State: Zip:
Business License:
Garage 0 Basement 0
Unit Rate No. Units Unit Desc
----------- ----------- -------------
0.0000 0.0000 $1,000
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
Firm
Date
OFFICIAL USE ONLY
# Sets of Prints:
Finallnspection: ~
Date:
By:
~ f • of ' 0112 ~~L
City of Yelm
Community Development Department
SPECIAL EVENT /TEMPORARY USE
APPLICATION
Special Event Sign Permit (limited to 14 days, 4 times per calendar year)
Temporary USe (property owner permission letter required)
,[~~-~_~.3~1 ~~~~ (see REVERSE for regulations)
~~
NAME OF PROJECT L`LCIY~ p I ~~~ ~~~/ (~(i ~C~l~,~j2{~~
APPLICANT/BUSINESS NAME C' -- ~,~ t o ~S ~ ~ o t.~ 2)
Mailing Address c~ 7N LP ~ ~ Y r a
City, State and Zip r.~ t,,/a . ~s
Telephone -~,/~~ o- / v 3 EMAIL T~ hl b v v r /1 i
City of Yelm Business License Number
SITE OWNER
Mailing Address
City, State and Zip ` ~ wt w ~--
Tefephone EMAIL
SITE ADDRESS/LOCATION
SITE PARCEL N BER
SUMMARY O~ REQUEST )1J1.C.-
D (Qi
START DATES 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/reason necessary to process this application.
Signed /~~. ~~~ Date
ROUTING: SPECIAL EVENT Building Section
TEMPORARY USE Planning Section Building Section
l05 Yelm Avenue West (360) 458-3835
PO Box 479 (360) 458-3144 FAX
Yelm, WA 98597 www.ci.yelm.wa.us
c
D ~/U~~-
1 f /~~~~
~~
1 ~r~/~ my ~m~~~~~ f~v ~
Ct~v~ir ~Y~GfiuC ~-~ ~v ~ ~~
~v k// ~ ~i~r,f Car~iei-s t~x~o Ra (mow ~
~q -
J
~M
~~
~ ~~m~~~
C~~a~
X y.~~Awc
D