20100219 Permit Pkg 11242010City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Applicant:
Name: GREAT CLIPS
Address: 1201 E YELM AVE
YELM WA 98597
Property Information:
Site Address: 17(11 YFI M AVF 3f1A
Assessor Parcel No.:
Contractor Information:
Name: GREAT CLIPS
Address:
1201 E YELM AVE
YELM WA 98597
Contractor License No.:
Project Information:
Project: OTHER SPECIAL EVENT
Permit No.: 20100219
Issue Date: 11/24/2010
(Work must be completed within 180 days)
Phone: 458-1600
Owner:
Phone:
Expires: 0/00/0000
Description of Work: SPECIAL EVENT BANNER LOCATED IN PLANTER STRIP 11-25-2010 THRU 12-9-2010
Sq. Ft. per floor: First
Second
Third
Garage
Basement
Subdivision:
Heat Type (Electric, Gas, Other):
Fees:
Item Contractor Fees
SE GREAT CLIPS $ 0.00
TOTAL FEES: 5 0.00
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 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 further certify that I am currently
registered in~State of Washington. ~~ / I
Date
Firm
Lot:
s of Prints:
Inspection:
Date:
NOV-23-2010 12:35 FROM: GREAT CLIPS YELM 3604581600 70:3604583144 P.1~1
~'rty of ~'"eZm ~~a/~ ~~ ~
Comrnunaty Deuetopmtent Delaartr-aent
S.~'.ECIAL EYE,IVT / ~."EMPORAR Y U'SE
APPLICATION
Sp@Clal EVent Sigr1 Ptermit (llmlted to 14 days, 4 limes per calendar year)
T8n1po~8ry Use (property owner permfssfon letter required)
(see REVERSE for regulations)
NAME OF PROJECT
IaPPI.ICANr/BU5/NESS NAME
Mailing Address
City, State a Zi
Telephone EMAIL
City of Yelm Business icense Number ~ O
slrF owNFR _-- ~.
Mailing Address
CFty, Sta#e a d ip ~
Telephorre - EMAI L
SITE ADDRESS/LOCATfON
S/TE PARCEL NUMBER
SUNI ARY OF EQtJEST
START DATE D DATE /v
I affirm that all answers, statements and informat"~on above and sutanltted with this application are complet® and
8CCUrat9 to the best of my knpwledge. I also affirm that ! am the owner of the subject site or 8m dury euthoriZed by
the owner to act wllh respect to this application. Curtner, t grant permFsslon from the owner to nny and aH
emptpyer@s and representatives of the City of Yelm antt other govemmentel agancte9 to orator upon and Inspect
said p easonably necessary 'on ~-
Slgnod Date / ~~'
LJ
ROItTING: SPECIAL ~M Building SeCtsDn
TEMPORARY USE Planning Section ~ Bulldinp Section
706 Yelm.llwnue West ~-~ (360) 468.4835
PO Bhx 479 (460) Sd8-3N0 FAX
Yedm, WA 9$~9f D ~ ~ ~ ~ ~ ~ www.ciyelm.wa.ue