20100069 Permit Pkg 040910City of Yelm
Community Development Department
Building Division
Phone: (360)458-8407
Fax: (360)458-3144
Applicant:
Name: QUIZNOS
Address: P.O. BOX 619
YELM WA 98597
Property Information:
Site Address: 19A9 YFI M AVE E STE E
Assessor Parcel No.:
Contractor Information:
Name: QUIZNOS
Address:
P.O. BOX 619
YELM WA 98597
Contractor License No.:
Project Information:
Project: SPECIAL EVENT
Subdivision:
Permit No.: 20100069
Issue Date: 4/09/2010
(Work must be started within 180 days)
Phone: 360-894-8805
Owner: QUIZNOS
Lot:
Phone:
Expires: 0/00/0000
Description of Work: THREE POLE BANNERS APRIL 4 THRU APRIL 23, 2010
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item
SE
Contractor
QUIZNOS
TOTAL FEES:
Applicant's Affidavit:
I certify that I have read and examined the information contained within the application and know the same
to be true and wnect. I also certify that the proposed stmcture is in conformity with all applicable City of
Yelm regulations i cluding those governing zoning and land subdivision, and in addition, all covenants,
easements and r strigq~~ion cord. If applying as a contractor, I further certify thatJl am/currently
registered in the tatklOt/ as ington/~~ ~ Date I ~`7 ~ IO
Finn
Fees
s o.oo
$ 0.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
ay:
e'
2~~ o oot~
O ~~,a~ City of Yelm
Community Development Department
SPECIAL EVENT /TEMPORARY USE
APPLICATION
Special Event Sign Permit (limited to 74 days, 4 times per calendar year)
Temporary Use (property owner permission letter required)
(see REVERSE for regulations)
O
O
NAME OF PROJECT C~ (`2.nlOS SP/~Wco S FC-ccAt` ~6" ~
APPLI NT/BUSINESS NAME Cw 12,~o S~ 4 y E(~
Maili Address ~ ~x ~ 19
Ci ,State and Zip ~ El1'~ w do `(~
T ephone ~6oScG~- Q8( EMAIL ~yju~tL~2ra Ca t1c)C,cow1
Ity of Yelm Business License Number
SITE OWNER ntaE r(c~C~~avo~
Mailing Address
City, State and Zip
Telephone `zbc~ 35~ a0o~ EMAIL
SITE ADDRESS/LOCATION
/~a~ E"
SITE PARCEL NUMBER
SUMMARY OF REQUEST
START END DATE
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.
Signed Date
ROUTING: SPECIAL EVENT _ Building Seclion
TEMPORARY USE _ Planning Section Building Section
705 Yelm Avenue
PO Box 479
Yelm, WA 98597
f46 ~/
(360)
b 25 ~J l~ I~l
0 9 2010 U
B Y: --------------------