20120244 Permit Pkg 08152012City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Applicant:
Name: TACOMA GOODWILL INDUSTRIES
Address: 714 S 27TH ST
TACOMA WA 98409
Property Information:
Site Address: Qf1R VFI M AVF F
Assessor Parcel No.: 227330110204 Subdivision:
Contractor Information
Name: TACOMA GOODWILL INDUSTRIES
Address: DOUG SAWYER
714 S 27TH ST
TACOMA WA 98409
Contractor License No.:
Project Information:
Project: OTHER SPECIAL EVENT
Expires:
Permit No.: 20120244
Issue Date: 811512012
(Work must be completed within 180 days)
Phone: 253- 573 -6671
Owner:
Phone:
Lot: N/A
Description of Work: PUGET SOUND ENERGY'S ROCK THE BULB. BOOTH IN PARKING LOT FOR PSE TO
PROMOTE LIGHT BULB AND RECYCLE OLD AND USED. AUGUST 18 AND 19, 2012
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item
SE
Contractor
TACOMA GOODWILL INDUSTRIES
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- Prtd79Mfictions of record. If applying as a contractor, I further certify that I am currently
Firm
Fees
$ 0.00
$ 0.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
Aug 06 12 11:05p Suzette Riley
206- 262 -0366 p.1
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City of Yelm
M Community Development Department
SPECIAL EVENT I TEMPORARY USE
APPLICATION
X Special Event Sign Permit Qlmited 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 PROJECTi C 42A- - A Q ;s k �b
APPLICANT /BUSINESS NAME-
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Mailing Address "I (L-A S. S1r.
City, State and Zip
Telephone X53.5-73- Gs-L -y s5 EMAIL
City of Yelm Business License Number
SITE OWNER
Mailing Address
City, State and Zip
Telephone EMAIL
SITE ADDRESS /LOCATION
SITE PARCEL NUMBER
SUMMARY OF REQUEST
hrs- %,c c, \ 6 �� PS Y
START DATE 4r i-r-Na. END DATE
I affirm that atl answers, statements and information above and submitted with this application are complete and
accurate to the best of my knowledge. 1 also affirm that I am the owner of the subject stle or am duty a uffwrized by
the owner to ad 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 reaspriably recess ry It process this application.
tS-- Date
ROUTING: SPECIAL EVENT Building Section
TEMPORARY USE _ Planning Section _Building Section
105 Ye1m Aoenyy���i(� `/r ^ '—' �"' n 5?�' , 800) 458 -8885
M.. 479 Hi O tl C u iJ-' �' �.i L/ 800) 458-3144 FAX
Petra, WA 98597 / / mm.eiyelrr�wa.ua
nn AUG 0 6 2012