20040165 Permit Pkg 101304City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Permit -vo: SE-04-0165-YL
Issue Date: 10/13/2004
(Work must be started within 180 days)
Receipt No:
Applicant:
Name: Burger King
Address: 902 Yelm Avenue E
Property Information:
Site Address: 902 Yelm Ave E.
Assessor Parcel No. 99001818300
Name:
Address:
Contractor License No:
Phone: 360-458-8117
City: Yelm State: WA Zip 98597
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Subdivision: Lot:
Contact: Phone:
City: State: Zip:
Expires: Business License:
Project: Sponge Bob Square Pants
Description of Work: Roof inflatable at east end of building of Burger King.
Start mid November - for 2 weeks.
Sq. Ft. per floor: (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
TOTAL FEES: $0.00
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.
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Signatur~j.~ ~ Date C ~-~3 • ~/
Firm
OFFICIAL USE ONLY
`• Sets of Prints:
inal Inspection:
Date:
By:
O(`.~~ THFp~A,~ City of Yelm
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Community Deuelopment Department
SPECIAL EVENT A.PPLICATION
OFFICIAL USE ONLY
YELM F~ N Ne
WASMINGTON De~e Received . L {~
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APPUCANT `
Mailing Address ~
City, State and Zip w "~
Telephone 3~~- ~i~~ ( EMAIL ; c~,~~ ~
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OWNER vvt c ~ v~2
Mailing Address ' ~~ ~(r~ r ~'
City, State and Zip~~~ ,~ ~` 1
Telephone EMAIL
SUM~RY OF RE UEST c`~ ' ~l~/
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PROPERTY DESCR/PT/ON
General Location_ ~`i~ ~~?E,j--- ,~.,r~
Site Address Land Area (acres)
Section Township ~ Range
Assessor's Tax Parcel Number y~ -~'j~G~r~ /~ 3c~1
Full legal description of subject property (attach separate sheet if necessary)
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 reasonably necessary to process this application. I agree to pay all fees of the city that apply to
this application.
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Signed ~~ Date
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105 Yelm Auenue Weat (360) 458-3835
PO Box 479 (360) 458-3194 FAX
Yelm, WA 98597 u~u~u~.ci.yelm.u~a.us