20080406 Permit Pkg 121708City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Applicant:
Name: Riddall, Alana
Address: PO Box 1647
Property Information:
Site Address: 106 First Street
Assessor Parcel No.
Contractor information:
Name:
Address:
Contractor License No:
Project Information:
Project: Quilt Sale - Homemade
Description of Work: Selling of Homemade Quilts
December 17, 2008
Sq. Ft. perfloor: (1st) 0 (2nd) 0
Heat Type (Electric, Gas, Other):
Fees:
City: Yelm
Subdivision:
Contact:
City:
Expires:
(3rd) 0
Item Item Fee Base Amt Unit Fee
--------------------------- ----------- ----------- -----------
Building Permit - Other 0.00 0.00 0.00
TOTAL FEES: $0.00
Applicant's Affadavit:
Permit No: SE-08-0406-YL
Issue Date: 12/17/2008
(Work must be started within 180 days)
Receipt No:
Phone:
State: WA Zip 98597
Lot:
Phone:
State: Zip:
Business License:
Garage 0 Basement 0
Unit Rate No. Units Unit Desc
----------- ----------- -------------
0.0000 0.0000 $1,000
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~ ~~~ ~,. ~~~ ~~ / C-' Date /,'~ ~ ~ - ~ ~
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Firm
Y
# Sets of Prints:
Final Inspection:
Date:
By:
4~,~~ T~p~` City o f Yelm
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~' ~ Community Development Department
SPECIAL EVENT / TEMPORA.R Y USE
YE LM ~l'LI CATION
WASHINGTON
Special Event Sign Permit (~imited to ~4 days, 4 times per calendar year)
TempOrary Use (property owner permission letter required)
(see REVERSE for regulations)
NAME OF PROJEC
APPLICANT/BUS/N SS AME `
Mailing Address .
City, State and Zip ,
Telephone EMAIL
City of Yelm Business License Number
SITE OWNER
Mailing Address
City, State and Zip
Telephone EMAIL
SITE ADDRESS/LOCATION
SITE PARCEL NUMBER
SUMMARY OF REQUEST - a~~ o~
START DATE /~/i~ END DATE ia- //~ /l~~
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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 r spect to this applic ion. Further, I grant permission from the owner to any and all
employees and repr entatives of t C' of Yelm and other governmental agencies to enter upon and inspect
said property a~. a onably nece ary process this application.
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Signed~--~-"'" %~'~--~. , '~ Date ~/ l~
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V I
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