20100202 Permit Pkg 10212010City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: {360) 458-3144
Applicant:
Name: OLD SCHOOL TATTOO
Address: 106 YELM AVE W
YELM WA 98597
Property Information:
Site Address: 106 YELM AVE W
Assessor Parcel No.: 85800100100 Subdivision:
Contractor Information:
Name: OLD SCHOOL TATTOO
Address:
106 YELM AVE W
YELM WA 98597
Contractor License No.:
Project Information:
Project: OTHER SPECIAL EVENT
Description of Work: EVENT BANNER USING FOUR SPECIAL EVENT'S IN A ROW. OCT 19 THRU NOV 2, 2010
NOV 3 THRU NOV 17, 2010
Sq. Ft. per floor: First
Second
Third
Garage
Basement
Fees:
Item
SE
Heat Type (Electric, Gas, Other):
Contractor
OLD SCHOOL TATTOO
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 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 the State of Washington.
Firm
Permit No.: 20100202
Issue Date: 10!21/2010
(Work must be completed within 180 days)
Phone: 360-584-5401
Owner: OLD SCHOOL TATTOO
Lot:
Phone:
Expires: 0/00/0000
Fees
$ 0.00
s o.oo
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
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City of Yelm
Community Development Department
SPECIAL EVENT / TEMPORAR Y 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)
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NAME OF PROJECT
APPLICANT/BUSINESS NAME !J ~G ~ ~~ ro
Mailing Address i
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City, State and Zip
Telephone ~ ~- ~'- o l EMAILGrr C ~
City of Yelm Business License Number ~ ~ - ~
SITE OWNER
Mailing Address I ~ ~ 2 2 S S-~
City, State nd Z' ~ ~
Telephon - g ~` EMAIL
SITE ADDRESS/ OCATION f~ ~ `- /~'~ ye (~. Au e, W
S/TE PARCEL NUMBER
SUMMARY OF REQU~ ~~. /~~~ G/jp - //~ /D .~
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START DATE _ 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 Section
TEMPORARY USE Planning Section Building Section
105 Yelm Auenue West
PO Box 479
Yelm, WA 98597
(360) 458-3835
(360) 458-3144 FAX
www.ci.yelm.wa.us
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