20100223 Permit Pkg 11302010 (2)City of Yelm
Community Development Depantment
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Applicant:
Name: FLANAGANS APPLE
Address: 704 YELM AVENUE WEST
YELM WA 98597
Property Information:
site Address: 704 YELM AVE W
Assessor Parcel No.: 21724141100
Contractor Information
Name: FLANAGANS APPLE
Address: JOHN MELIA
704 YELM AVENUE WEST
YELM WA 98597
Contractor License No.:
Project Information:
Project: OTHER SPECIAL EVENT
Permit No.: 20100223
Issue Date: 11/30/2010
(Work must be completed within 180 days)
Phone: 360-894-7187
Owner:
Subdivision: Lot:
Phone:
Expires: 0/00/0000
Description of Work: FLANAGANS APPLE SPONSERSHIP OF PRAIRIE RUGBY DECEMBER 1, 2010 THRU
DECEMBER 15, 2010 DECEMBER 16, 2010 THRU DECEMBER 31, 2010
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item
SE
Contractor
FLANAGANS APPLE
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
Fees
$ 0.00
S 0.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
blo O Z'Z-
city of Ye~
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Community Development Department
SPECIAL EVENT / TEMPORAR Y USE
APPLICATION
WASHINGTON ,J/ 1 ~OF~/`-~ ~w, _\/~G~ ~{~ (~Q!/I ~~6~
Special Event Sign Permit (limited to 74 days, 4 times per calendar year)
Temporary Use (property owner permission letter required) y~cf - ~SS~
(see REVERSE for regulations)
•
NAME OF PROJECT t"~.~/QtE ~G~Y ~~~~ ~G~-l/.~
APPLICANT/BUSINESS NAME ~ ~ ~ ~~~ s
Mailing Address D t
l (cr.. w ~- 9
City, State and Zip
Telephone 34o-Kay- 2~od EMAIL
City of Yelm Business License Number
SITE OWNER
Mailing Address
City, State and Zip
Telephone EMAIL
S/TE ADDRESS/LOCATION
Sl TE PARCEL NUMBER
SUMMARY OF RE UEST ~ a ~ar~.~-e s s
START DATE ! Z ~ i S/ z o/ a END DATE ~ Z/ 31 / Z o 1 0
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 ~~' ~ 2~ Za 1 D
v
•
ROUTING: SPECIAL EVENT Building Section
TEMPORARY USE Planning Section Building Section
I05 Yelm Avenue West
PO Box 479
Yelm, WA 98597
(360) 458-3835
(360) 458-3144 FAX
www.ci.yelm.wa. us