20120292 Permit Pkg 10082012City 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: QAA VFI M OVF 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
Permit No.: 20120292
Issue Date: 10/08/2012
(Work must be completed within 180 days)
Phone: 253 - 573 -6671
Owner:
Phone:
Expires: 0 /00 /0000
Description of Work: HALLOWEEN BOO -TEEK BANNER. OCT 6 THRU NOV 1, 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' Affidavit:
I certify tha I hav read and examined the information contained within the application and know the same
to be true a d co . a s rtify that the proposed structure is in conformity with all applicable City of
Yelm regul lions cl ding th se governing zoning and land subdivision, and in addition, all covenants,
easements nd tr ns f record. If applying as contractor, I further certify that I am currently
registered i the a f shhingt n. �/ \I �q /J
Signature h �v ��4AY` Date 10' Yt • I //
Finn
Lot: N/A
Fees
$ 0.00
$ 0.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
Oct, 5, 2012 8 :42AM
o. 0177 —P. 1-
�491
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
APPLICANT /BUSINESS NAME yep
Mailing Address- 9
City, State and Zip Ci y5n-1
Telephone AIL W-ckh g O rkrat ry ,4�
City of Yelm Business License Number V
SITE OWNER
Mailing Address
City, State and Zip
Telephone MAIL
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 property as reasonably necessary to process this application
Signed Dale
ROUTING: SPECIAL EVENT _ Building Section
TEMPORARY USE , Planning Section _Building Section
106 Yelm Avenue West (860) 458 -8885
POBox 479 (860) 458 -8144 FAX
Yelm, WA 99591 WWW.clyelm.Wn.ua