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20090029 Permit Pkg 022509 City of Yelm Community Development Department Building Division Phone: (360) 458-8407 Fax: (360)458-3144 Permit No: SE-09-0029-YL Issue Date: 02/25/2009 (Work must be started within 180 days) Receipt No: Applicant: Name: Bon Jon's Legacy Salon Phone: 360-458-3342 Address: PO Box 1143 City: McKenna State: WA Zip 98558 Property Information: Site Address: 715 Yelm Avenue East, Ste. 6 Assessor Parcel No. Subdivision: Lot: Contractor Information: Name: Contact: Phone: Address: City: State: Zip: Contractor License No: Expires: Business License: Project Information: Project: Bon Jon's Legacy -Carrie Butler Description of Work: Sandwich Board Sign -February 25 -March 11, 2009 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: OFFICIAL USE ONLY 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 # Sets of Prints: 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. Final Inspection: Date: Signature Date Firm By. 12/15/2001 03:12 3608945132 DYLINA PAGE 01 City of Yelm Community Development Departmen SPECIAL EVENT' / TEMPORA.R Y USA APPLICATION ,~ SpAClal went $igrl Permit (Itmlted to 14 days, 4 times per calendar year) Temporary Use (property owner permission letter required) {see REVERSE for regulations) ~_ NAME OF PROJECT APPLICANT/BUS/NESS NAME - r r t~ Mailing Address ~O BoX I t~ 3 ~ City, State and Zip y1c.Ke.,r, r» Uv~4 °14~ 5 Telephone 3 foo -_ ~-}S ~- 33 4~ EMAIL City of Yelm Business License Number ©°4 `- OD ~ `~'`t .a -O SITE OWNER R~,~- P ~ ~nx~ Mailing Address j City, State and Zip ~ Telephone EMAIL ~ S1TE ADDRESS/LOCATION ~ t5 ~.~ rr~ ~4 v~G ~ „ }-c. (n ~ A ~ 5°I `7 ~ SIT PARCEL NUMEER _ j SUMMARY QF REQUEST S~.»r~,cri-~h ~ s r of ~ ~ i START DATE a - a S ^ END DATE a - 11 - °t 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 ~y the owner !o act with respect to this application. Further, I grant permission from the owner to any and aN employees and representatives of the City of Yelm and other governmental agencies to enter upon and inspect said properrty as reasonably necessary to process this application. Signed \~ ~ 1~~~ .Date ~ ~ `~ - °~ ROUTING: SPECIAL t:1JENT Building Section TEMPORARY USE Planning Section Building Section 105 Ytlm ,Avenue Weat PO Sor 4T9 Yelm~ WA 9858 ~sso~ 4ss-seas (360) 458-3144 FAX m~ou,.clyelrrr., rua.ua