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20090002 Permit Pkg 010609City of Yelm Community Development Department Building Division Phone: (360) 458-8407 Fax: (360)458-3144 Applicant: Name: Bon Jon's Legacy Salon Address: PO Box 318 Property Information: Site Address: 715 Yelm Avenue East, Ste. 6 Assessor Parcel No. Contractor Information: Name: Address: Contractor License No: City: Yelm Subdivision: Contact: City: Expires: Permit No: SE-09-0002-YL Issue Date: 01/06/2009 (Work must be started within 180 days) Receipt No: Project Information: Project: Bon Jon's Legacy -Bonnie Inman Description of Work: Special Event Sign -January 6 - 20, 2009 Put out sandwich board near entrance to complex. Sq. Ft. per floor: (1st) 0 (2nd) 0 (3rd) 0 Garage 0 Heat Type (Electric, Gas, Other): Fees: Item --------------------------- Building Permit -Other TOTAL FEES: Applicant's Affadavit: Phone: 360-458-3342 State: WA Zip 98597 Lot: Phone: State: Zip: Business License: Basement 0 Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc ----------- ----------- ----------- ----------- ----------- ------------- 0.00 0.00 0.00 0.0000 0.0000 $1,000 $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 St~fg of Washington. ~ ~_ , Signature ~~ Date Firm OFFICIAL USE ONLY # Sets of Prints: Final Inspection: Date: By: ~4~,~~ T~~'~` City of Yelfn °' ~' Community Development Department SPECIAL EVENT / TEMPORAR Y USE APPLICATION YELM WASNINGTON 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 "' ~ -~ ! I ~ ~' ~ `' ~ APPLICANT/BUSINESS NAME j- "- ;mil l _- -~~--- ~- -- ~ ~' ._E Mailing Address ~ ~ ~ I ~ ~ =~~" City, State and Zip (~~~~ _ ~-ti ~ ~ ~ ,~ 1~--~ -f ~ `~ ~~ -7 Telephone v <, ~- 3 ~ -~. EMAIL City of Yelm Business License Number - ~-~ SITE OWNER ~- L~- -/ Mailing Address - --- City, State and Zip~~ ~ f ~,-~._ i,1 ,~ ~-- ~ ~~_~-7 Telephone ~ ,~:~ - ~;-, ~' ~ =~ ~ ~ EMAIL SITE ADDRESS/LOCATION ~ ~ SITE PARCEL NUMBER SUM~ARY OF RE UEST -c ~ ~ ~? '~ `" "` L 1 %~ START DATE ~" ~ END DATE i ? c~ 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 ~s;r~asonably necessary t ~rocess this application. - ~, _: Signcii ~ ~,. ~~- `") 2G. ~. I'~-.--Date~c~/ '~ ~ _ ROUTING: SPECIAL EVENT Building Section TEMPORARY USE Planning Section Building Section 105 Yelm Avenue West (360) 458-3835 PO Box 479 (360) 458-3144 FAX Yelm, WA 98597 www.ci.yelm.wa.us