20120248 Permit Pkg 08172012City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Permit No.: 20120248
Issue Date: 8/17/2012
(Work must be completed within 180 days)
Applicant:
Name: YELM LIQUOR & BEVERAGE Phone: 400 -1125
Address: 1110 YELM AVE E., STE 12
YELM WA 98597
Property Information:
Site Address: 1110 YELM AVE E, STE 12 Owner:
Assessor Parcel No.: 22730110207 Subdivision: NA Lot:
Contractor Information
Name: YELM LIQUOR & BEVERAGE
Address:
1110 YELM AVE E., STE 12
YELM WA 98597
Contractor License No.:
Project Information:
Project: OTHER SPECIAL EVENT
Phone:
Expires: 0 /00 /0000
Description of Work: CUSTOMER APPRECIATION DAY. AUGUST 18 THRU 31, 2012
Sq. Ft. per Floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item
SE
Contractor
YELM LIQUOR & BEVERAGE
TOTAL FEES:
Applicant's Affidavit:
I certify t at 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 ,and
including those governing zoning and land subdivision, and in addition, all covenants,
easerneIritsA504113ictions of record. If applying as a contractor, I further certify that I am currently
Date
Firth
Fees
$ 0.00
$ 0.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
Aug 1712 02:59p
Microsoft
360- 458 -4018
City of Yelm
P.1
Community Development Department
SPECIAL EVENT/ TEMPORARY 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)
NAME OF PROJECT Cri.n4Zn ni2 < A l-KI,�fo n�A
APPLICANT /BUSINESS NAME
Mailing Address ft in -5G r rz -
City, State and Zip ;' - I
T elel EMAIL KCZ5G10Y n mQc- n -&-
City of Yelm Business License Number 12--}i
SITE OWNER
Mailing Address l-I
City, State and Zip c
Telephone 2Q(.o5 EMAIL - \
SITE ADDRESS/LOCATION
SITE PARCEL NUMBER
SUMMARY OF REQUEST 'r
STARTDATE i,r,�'% Zflj'2 END DATE 8
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 ne • to p s thts_aalwfication. �y
Signed ate 15 1 7 ��Z
ROUTING: SPECIAL EVENT _ Building Section
TEMPORARY USE _ Planning Section , Building Section
105 Yelm Avenue West
PO Box 479 (360) 458 -8144 PAX
Yelm, WA 98597 WWW.& yelm.WO.us