20090072 Permit Pkg 050809City of Yelm
Community Development Department
Building Division
Phone: (360)458-8407
Fax: (360)458-3144
Applicant:
Name: A NOVEL BOOK STORE
Address: 412 REFLECTION LANE
RAINIER WA 98576
Property Information:
Site Address: 305 1ST STREET SOUTH #1
Permit No.
Issue Date
20090072
5/08/2009
Phone: 360-458-4722
Owner: GEM PROPERTIES
Assessor Parcel No.:
Contractor Information:
Name: A NOVEL BOOK STORE
Address:
412 REFLECTION LANE
RAINIER WA 98576
Contractor License No.:
Subdivision:
Phone:
Expires: 0/00/0000
Lot:
Project Information:
Project: ART WALK -LIVE MUSIC
Description of Work: Set Up For Music In Parking Lot. Will not be obstructing parking spaces. May 17, 2009
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item Contractor
SE A NOVEL BOOK STORE
TOTAL FEES:
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
registered in the State of Washington.
Date
Firm
Fees
$ 0.00
$ 0.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
Dy- ~~
of THFp.A~ City of Yelm
Community Development Department
SPECIAL EVENT /TEMPORARY USE
Y E L M APPLICATION
WASHINGTON
Special Event Sign Permit (limited to 14 days, 4 times per calendar year)
Temporary USe (property owner permission letter required)
(see REVERSE for regulations)
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NAME OF PROJECT ,~~ IZ~T ~-J ,,4 'L-~ ~-~ (,~ ~° ~ ~,, ~
APPLICANT/BUSINESS NAME aV6 C5-U ~ (~ ,
Mailing Address y,7' 7 ~~'/ _6~Tj~ ~a~
City, State and Zip ~ t„1,,Q r7
Telephone ~ ~r - ~.. EMAIL ~ c
City of Yelm Business License Number
SITE OWNER ~f'., wl ~4' X IVOv6~ C~'
Mailing Address ~ l
City, State and Zip ~ ~
Telephone ' EMAIL
SITE ADDRESS/LOCATION #~
SITE PARCEL NUMBER
SUMMARY OF REQUEST 5~T i~ ~ 1~l~;iC _ --Li(i fl~biy t
START DATE oS / ` END DATE OS
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 tq enter upon and inspect
said property as reasonabl necess to process this application.
Signed Date s
ROUTING: SPECIAL EVENT Building Section
TEMPORARY USE Planning Section Building Section
I05 Yelm Avenue West
PO Box 479
Yelm, WA 98597
(360) 458-3835
(360) 458-3144 FAX
www.ci.yelm.wa.us