20120323 Permit Pkg 11282012City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Permit No.: 20120323
Issue Date: 11/2812012
(Work must be completed within 180 days)
Applicant:
Name: BAYDO Phone: 360 - 789 -4389
Address: PO BOX 1410
MCKENNA WA 98558
Property Information:
Site Address: 1405 YELM "E E
Owner:
Assessor Parcel No.: 22730140400
Subdivision:
Contractor Information:
Name: BAYDO
Phone:
Address: ALEX
PO BOX 1410
MCKENNA WA 98558
Contractor License No.:
Expires: 0 /00 /0000
Project Information:
Project: OTHER SPECIAL EVENT
Description of Work: BAYDO CHEVROLET SPECIAL EVENT NOV 28 THRU DEC 13, 2012
Sq. Ft. per floor: F. t
Heat Type (Electric, Gas, Other):
irs
Second
Third
Garage
Basement
Fees:
Item
SE
Contractor
BAYDO
TOTAL FEES:
Applicant's Affidavit:
' 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 ul n i those governin zoning and land subdivision, and in addition, all covenants,
easeme is restricti s of record. ap�ly g as a contractor, I further certify that I am currently
registere i 'tate Vj(ashingto ��
I9it•IMMIM
Firm
Lot:
Fees
$ 0.00
$ 0.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
SCANNED
NOV 2 8 2012
11/27/2012 14:57 2538430387
x0100`3 PAGE 01/02
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SPECIAL EVENT I TEMPORARY USE
ApPLICATIO.N
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 `S G( i 1 m- 5 0a i AL E5\IEK-
APPLICANTIBUS&VESS NAhl,E
Mailing Address •D
City, State and Zip KIA
Telephone
PC) � AI
City of Yelfn Business License Number
SITE OWNER
Mailing Address
City, State acid Zip
Telephone IL
SITE ADDRESS /LOCATION
SITE PARCEL NUMBER gal 30 14Q "M
SUMMARY OF REQUEST.-
START DATE - -END ,DATE
I affirm that all answers, statements and information above and submitted with this applioation are complete and
accurato to the beat f my knowledge. I also aftl n that I am the owner of the subject site of am duly authorized by
the owner to act v & h aspect to this application. Further, I grant permission from the owner to any And all
employees and tatives of the City of Yelm and other governmental agencies to enter upon and Inspect
sold pro a nobly necessary to process this application.
Signed pate
ROUTING: SPECIAL EVENT Building Section
TI'MPORARY USE Planning Sectlon Building Section
I05 Win Avenue nuc West '5 (86Q) !68.8835
(86Q) t594114 PAX
,p0,0ox -M
Yefjr4 WA 98597 tl +rpw.ct�lrelrrt.mmus
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