20120252 Permit Pkg 09062012City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Applicant:
Name: CASA MIA
Address: 134 PRAIRE PARK
YELM WA 98597
Property Information:
Site Address: 14A PRAIRIE PARK AT QF
Assessor Parcel No.: 99002058849 Subdivision:
Contractor Information:
Name: CASA MIA
Address: TERRY COLE
134 PRAIRE PARK
YELM WA 98597
Contractor License No.:
Permit No.: 20120252
Issue Date: 9106/2012
(Work must be completed within 180 days)
Phone: 400 -2277
Owner:
Lot:
Phone:
Expires: 0 /00 /0000
Project Information:
Project: OTHER SPECIAL EVENT
Description of Work: ANNIVERSARY BANNER SEPT 4 THRU 18, 2012
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item
SE
Contractor
CASA MIA
TOTAL FEES:
Applican s Affidavit:
I certify t at have read and examined the information contained within the application and know the same
to be tru and correc I also certify that the proposed structure is in conformity with all applicable City of
Yelm reg latio K includin those governing zoning and land subdivision, and in addition, all covenants,
easeme s an restrictions of rec�jd1lf applying as a contractor, I further certify that I am currently
registere in t State o ash�ngpq /
I I A IL.br, L .. .-.
Date — I• (O'
Firm
Fees
$ 0.00
$ 0.00
OFFICIAL USE ONLY
# Sets of Prints.
Final Inspection:
Date:
By:
Sep 03 12 11:10a Yelm Casa Mia 360 - 400 -3133 p.1
City of Yelm
Community Development Department
SPECIAL EVENT I 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 Y' m /l I I fArS� L:v R nz i
APPLICANT /BUSINESS NAME
Mailing Address
_
City, State and Zip \
Tele - LI
P� �-
�- a } EMAIL C e 7777 ? r 2A
City of Yelm Business License Number
SITE OWNER L -, l
Mailing Address - i I C &--,! 14 -
City, State and Zip n K- i
Telephone EMAIL
SITE ADDRESS /LOCATION
SITE PARCEL NUMBER
SUMMARY OF REQUEST
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 as reasonably essa�ry Ito, process this application.
Signed CAA- -y � �U � Y Date — � � �UI
ROUTING: SPECIAL EVENT Building Section
TEMPORARY USE _ Planning Section _ Building Section
105 Yet. Avenue Wesi Mt- 7 r r ° �-" (360) 458 -3835
PO Box 479 (360) 458 -3144 FAX
Yelm, WA 98597 _/L mam.ci.yelm.wa.us