20100227 Permit Pkg 12132010City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Applicant:
Name: BROTHERSINC
Address: P.O. BOX 2242
YELM WA 98597
Property Information:
site Address: 113 YELM AVE E
Assessor Parcel No.: 64400500500 Subdivision:
Contractor Information:
Name: BROTHERSINC
Address:
P.O. BOX 2242
YELM WA 98597
Contractor License No.:
Permit No.: 20100227
Issue Date: 12/13/2010
(Work must be completed within 180 days)
Phone: 253-606-0568
Owner:
Lot:
Phone:
Expires: 0/00/0000
Project Information:
Project: OTHER SPECIAL EVENT
Description of Work: WILLOUGHBY'S RESTAURANT & LOUNGE DECEMBER CHRISTMAS BASH DECEMBER 16,
2010 ALL MALE REVIEW SHOW IN LOUNGE DECEMBER 1 THRU DECEMBER 14, 2010
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item Contractor Fees
SE BROTHERS INC $ 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 tru and correct. I also certify that the proposed structure is in conformity with all applicable City of
Yelm re ulations including those governing zoning and land subdivision, and in addition, all covenants,
easem is and restrictions of record. If applying as a contractor, I further certify that I am currently
• lL •
Firm
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
Dec 07 10 03:46p Willoughby's 360-9608~324%~ p.1
City of Yelm
a ~
Community Development Department
SPECIAL EVENT ~ TEMPORARY ~TSE
APPLICA7'I011~
L
wnaHtrnc-ro N
~i/ Special Event Sign Perrrtiit (~imitea to ~a days, a times per calendar year)
Temporary Use {property owner permission letter required}
(see REVERSE for regula#ions)
NAME OF PROJECT ~ • t~~. ~ ~'-~ C,l^ ~ J~ ~~~ ~~~`~' ~~5 f i
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APPLICANT/BUSINESS NAME t I ~ ~ Gc-tt~rGL~ ~'
Mailing Address PD X49'.- 2.2>~ z
City, State and Zip ~-e~ ~ V1fQ, ~'!~'~ `x
Telephoneu ~~ •~~~~'~ EMAf L 2`~ ~ ~ ~^ ~C~ ~ DS ~~ ~ -
City of Yelrn B~ISirtess License Number C~ '- D0~3"~ ~ `~ ~ O
S1 TE OWNER ^ t°.C tti
Mailing Address .~ ~ ~~. ~'~~ I'~ ~ ~ ~ L'~
City, State and Zip t?~~f ~? J r ~~~ ~ (~Gi. ~ F~ ~~~
Telephone EMAIL.
SITE ADDRESS/LOCATION I i ~ y~~ ~~~ ~ v~J ~__
t~ 4 v~ ~~r~ ~ ra
SITE PARCEL UMBER_(~ ~-E ~-d c~~'~~ ~ S d~~ __
SUMMARY OF REQUEST - T 20 ~ `~' ~--
v't°r i~ c% t °~ L ~
START DATE 1 ~ .c7 ~ END DATE ~ ' '~
I affirm that atl anstivers, statements and information above and submitted with this application are complete and
accurate to the best of my knowledge. I also affirm that ! am the ovmer 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 arrci inspect
said property as reasonably neces~sa~ry to process this application.
Signed ~~..~~ 9-~'~.~`~~~~~ Date ~ '~ '~b l .Z~~ ~ t`~ -
ROUTING: SPEGIAL EVERT Building Section
TEMPORARY USE Planning Section Building Section
105 Yelm AUenue West (36/7) 468-2885
PQ Box x[79 (360) 43&3144 F'AX
Yelm, WA 95697 wu~tu.Ci.yedm.wd.us