20100028 Permit Pkg 020810City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360)458-3144
Applicant:
Name: LITTLEFIELD 8 CO.LLC.
Address: PO BOX 2943
YELM WA 98597
Property Information:
Site Address: R(14 YFI M AVF W
Assessor Parcel No.: 82800001400 Subdivision:
Contractor Information
Name: LITTLEFIELD & CO.LLC.
Address: DWIGHT LITTLEFIELD
PO BOX 2943
YELM WA 98597
Contractor License No.:
Permit No.: 20100028
Issue Date: 2/08/2010
(Work must be started within 180 days)
Phone: 360-458-9551
Owner:
Lot:
Phone:
Expires: 0100!0000
Project Information:
Project: OTHER SPECIAL EVENT
Description of Work: INCOME TAX PREPARATION SIGNAGE MARCH 8 THRU MARCH 21, 2010
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item
SE
Contractor
LITTLEFIELD 8 CO.LLC.
TOTAL FEES:
Applicant's Affidavit:
I certify that I have read and examined the infortna6on contained within the application and know the same
to be true and correct. I also certify that the proposed structure is in conforrniry with all applicable City of
Yelm regulations inGuding those governing zoning and land subdivision, and in addition, all covenants,
easements and restrictions of record. If applying as a contractor, I further certify that I am currently
registered i `t~ tale of Washington. r
Signature r' Q/ ~/ Date ~~I ~ I ~~
Fees
$ 0.00
j 0.00
Sets of Prints:
Ina! Inspection:
Date:
Firm ~~
ao~ a ooh
City of Yelm
Community Development Department
SPECIAL EVENT /TEMPORARY 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)
~~ i~ ~~'~
NAME OF PROJECT ~P~~ ~~ ~i~CZi'\,
APPLICANT/BUSINESS NAME '~-
Mailing Address- C5 ~1r~~~QW
City, State and Zi
Telephone I EMAIL ~ `
City of Yelm Business License Number ~ '1 I . U
SITE OWNER "
Mailing Address ~
City, State and Zip
Telephone ~ I EMAIL
SITE ADDRESS/LOCATION ~ -
SITE PARCEL NUMBER
SUMMARY OF REQUEST
START DATE 1 END DATE oZl ~ LD
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 prope as reasonably necessary to process this application.
Signed Date ~~ ' ~~
ROUTING' SPECIAL EVENT Building Section
TEMPOPnRY USE _ _ Planning S(:CiIOn _ _ _ i?ui!~fir,g Section
~SY-'~-
/OS Yelm Avenue West (360) 458-3835
PO Box 479 (360) 458-3144 FAX
Yelm, WA 98397 wu~w.ei.yelm.wa.us