20100058 Permit Pkg 040110City of Yelm
Community Development Department
Building Division
Phone: (380)458-8407
Fax: (360)458-3144
Applicant:
Name: GIORDA E, INC
Address: 301 YELM AVE. E
YELM WA 98597
Property Information:
Site Address: 301 YELM AVE E
Assessor Parcel No.: 99002058843 Subdivision:
Contractor Information
Name: GIORDA E, INC
Address: GIORDA ELLE
301 YELM AVE. E
YELM WA 98597
Contractor License No.:
Permit No.: 20100058
Issue Date: 410112010
(Work must be started within 180 days)
Phone: 360-400-1125
Owner: GLORDA ELLE
Lot:
Phone:
Expires: 0/00/0000
Project Information:
Project: SPEC IAL EVENT
Description of Work: TUX RENTAL SIGNAGE APRIL 1 THRU MAY 1, 2010
Sq. FL per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item
SPECIAL EVENT
Contractor
GIORDA E, INC
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 correct. I also certify that the proposed stmcture 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 further certify that I am currently
registered in the State of Washington.
Signature Date
Firm
Fees
3 0.00
5 0.00
OFFICIAL USE ONLY
# Sels of Prints:
Final Inspection:
Date:
By:
Mar 31 10 10:32a Giorda Elie 360 400 1126 p.l
03/30/2010 TUE 16:31 t'ax so uvooa+~~ ~~~> ~- ---•-- --- I
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Community
SPECIAL E
Special Event Sign Permit Ilimitea to va d;
Temporary Use (property owner permission
(see REVERSE for
of Yelm
opment Department
/TEMPORARY USE
.'CATION
times per calendar year-
requfred~
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APPLICANT/BUSINESS NAME / [~ ~~
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State and Zip I
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SITE OWNER °-[,c~ 1
Mailing Address I
State and Zip I
City
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Telephone EMAIL I
SITE ADDRESS/LOCATION ~~}-M 'L I ~ U V
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SITE PARCEL Nt1MBER
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SUMMARY OF REQ(/EST
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STARTDATE Ci END DAT ~ /O
I affirm that all answers, statements and iMormation above and submitted with this application are complete and
accurate to the best of my knowledge- I also affirm that I am the own.' of the subject site or am duly authorized by
the owner to act with respect to this application. Further, I grant pern!~ission from the owner to any and all
employees and representatives of the City of Yelm and other governrnenlal agencies to enter upon and inspect
said progeny as reasonably nec_essa~ry/to process thi, application, ,,/j
Signed ~/Cti Oates ~ te' /~ d
ROUTING; SPECIAL EVENT Buildi~ g Section ~
TEMPORARY USE _ Planning Section _ Building Section
PO Bos 479
Yetm, WA 98597
~• ll/~
{eau/ asar-anxs
(860) 458-3J4Q FAX
www.ci.yelrn.wa.ae