20090060 Permit Pkg 042809
City of Yelm
Community Development Department
Building Division
Phone: (360)458-8407
Fax: (360)458-3144
Applicant:
Name: Elie, Giorda
Address: 301 Yelm Ave East City: Yelm
Site Address: 301 Yelm Ave East
Assessor Parcel No. Subdivision:
Contractor Information:
Name: Contact:
Address: City:
Contractor License No: Expires:
Project Information:
Project: Giorda Elie
Description of Work: Banner for prom. April 20 thru May 6, 2009
Sq. Ft. per floor: (1st) 0 (2nd) 0 (3rd) 0
Heat Type (Electric, Gas, Other):
Fees:
Permit No: SE-09-0060-YL
Issue Date: 04/28/2009
(Work must be started within 180 days)
Receipt No:
Phone: 400-1125
State: WA Zip 98597
Lot:
Garage 0
Item Item Fee Base Amt Unit Fee Unit Rate
TOTAL FEES: $0.00
Applicant's Affadavit:
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
`Sets of Prints:
final Inspection:
Date:
By:
Rpr 25 09 12:07p Giorda Elie 360 400 1126 p,l
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