20090018 Permit Pkg 020209City of Yelm
Community Development Department
Building Division
Phone: (360)458-8407
Fax: (360)458-3144
Applicant:
Name: The Taxman
Address:
Property Information:
Site Address: 106 Edwards
Assessor Parcel No. 85800300700
Contractor Information:
Name:
Address:
Contractor License No:
Project Information:
Project: Pat Fetterly
Description of Work: Special Event
Sq. Ft. per floor: (1st) 0
Heat Type (Electric, Gas, Other):
Fees:
Item
TOTAL FEES
Applicant's Affadavt:
(2nd) 0
City:
Subdivision:
Contact:
City:
Expires:
(3rd) 0
Permit No: SE-09-0018-YL
Issue Date: 02/02/2009
(Work must be started within 180 days)
Receipt No:
Garage 0
Item Fee Base Amt Unit Fee Unit Rate
$0.00
Phone:
State: Zip
Phone:
State: Zip:
Business License:
Basement 0
Lot:
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, i
easements and restrictions of record. If applying as a ontractor, I futher certify that I am currently
registered in the S f Washington.
Signature ~ Date ~ ~ "- G~ ~ _ j
-__ _ -___ _ ._- - _ - I
_- -
Firm
# Sets of Prints:
Final Inspection:
Date:
By:
City of Yelm
V~ ~
YELM
WASHINGTON
Community Development Department
SPECIAL EVENT / TEMPORAR Y USE
APPLICATION
Special Event Sign Permit (limited to 14 days, 4 times per calendar year)
Temporary USe (property owner permission letter required)
(see REVERSE for regulations)
NAME OF PROJECT
APPLICANT/BUSINESS NAME ~~ ~ -~ ~,. (,
Mailing Address ~ , ,
City, State and Zip y.~' ~~ 2~ « 9 S~lj
Telephone~uo y5~ .'~~i ~ EMAIL ~u tfPtferl/ ~ r~y~ictc~S~~~ ~~
City of Yelm Business License Number
SITE OWNER ~ ~Y
Mailing Address
City, State and Zip ~, ~ 9 S ~~
Telephone ~~ ~ - EMAIL ~ -F>< .~ _ ~~ ~- ~~
SITE ADDRESS/LOCATION D - c! S
~ ~ ~ .~ ,
SITE PARCEL NUMBER
SUMMARY OF REQUEST n •~
G
START DATE ~ Z ~ END DATE ~,/il~~,/,L ~~~ S~-
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 re sonably necessary proces this a plica ion.
s~
Sign Date ~~~~'~
V
ROUTING: SPECIAL EVENT Building Section
TEMPORARY USE Planning Section Building Section
]OS Yelm Auenue West (360) 958-3835
PO Box 479 (360) 458-3144 FAX
Yelm, WA 98597 www.ci.yelm.wa.us