20100182 Permit Pkg 09202010City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (380) 458-3144
Applicant:
Name: MICHAEL CARRUTH
Address: PMB. BOX 256
YELM WA 98597
Property Information:
Site Address: 211 YELM AVE
Assessor Parcel No.: 85800300400 Subdivision:
Contractor Information:
Name: MICHAEL CARRUTH
Address:
PMB. BOX 256
YELM WA 98597
Contractor License No.:
Project Information:
Project: SPECIAL EVENT
Permit No.: 201 ~~~ 82
Issue Date: 9/20/2010
(Work must be completed within 180 days)
Phone: 360-790-5628
Owner: SUSAN MANKOWSKI
Phone:
Expires: 0/00/0000
Lot:
Description of Work: RIBBON CUTTING -YELM CHAMBER OF COMMERCE GALLONS TO BE PUT ON
EXSISTING SIGN SEPT 21 THRU 28, 2010
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item
SPECIAL EVENT
Contractor
MICHAEL CARRUTH
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 a correct. I also certify that the proposed structure is in conformity with all applicable City of
Yelm regul ions inclu ose governing zoning and land subdivision, and in addition, all covenants,
easements n est coons f record. If applying as a contractor, I further certify that I am currently
registered i th ~ ~ otj hington. ~~~ ~ ~ ~ ~'~
Signature lA~/
Firm
Fees
$ o.oo
S o.oo
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
09!17!2010 14:42
2532150137
OWNER ~~b0 ~ ~~
PAGE 01!01
City of Yelm
Community Dervelnpment Department
SPECIAL EVE11rT /TEMPORARY USE
APl1DL.~CATION
~J Special Ev®nt Siign Permit (limited to 14 days, 4 times per calendar year)
TempOrairy USe (property owner permission Letter required)
(see RE,YERSE for regulatiions)
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APPLICANTlBUSJ/VESS NAME I ~ q e air u (+~s_.1~+b
Mailing Address P +~'~ C'? ~ S(p , E2.~ 1 y' +~~. , _ ~k,,~„4??_
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SITE PARCEL NUMBER
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START DATE z-( ~ ~ END DATE ~ - ~ a
I affirm that all answers, statements and information above and submitted with this application are complete and
accurate to fhe bes# of my knowledge. I also affirm that I am the owner of the subjed site or am duly authorized by
the owner to act 't ko this application. Ftssther, S grant permission from the awneF to any and all
emplo f the City of Yelm and other govemrnental agencies to enter upon and inspect
s props _ 1 s Phis application.
Signs -_-° ~ Date ~ f ~ ~ C~~
ROUTING: SPECIAL EVENT Building Section
TEMPORARY USE Planning Section Building Section
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105 YeIrn A.veraus West (360) 468-8885
Pp Bpx 979 (860) 468-3T44 FAX
Yelrra, WA 98597 www.ciyeim.wa.us