20130116 Permit Pkg 01312013 �oF ''"�p� City of Yelm Permit No.: 20130116
`9 � Community Development Department Issue Date: 1/31/2013
(Work must be completed within 180 days)
Building Division
Phone: (360)458-8407
L
`"�`"�""°" Fax: (360)458-3144
Applicant:
Name: WILLIAM TRULL Phone: 360-915-2689
Address: P.O.BOX 1612
YELM WA 98597
Property Information:
Site Address: $01 YELM AVE W Owner: WILLIAM TRULL
Assessor Parcel No.: Subdivision: Lot:
Contractor Information:
Name: WILLIAM TRULL Phone:
Address:
P.O.BOX 1612
YELM WA 98597
Contractor License No.: Expires: 0/00/0000
Project Information:
Project: LAND VARIANCE
Description of Work: SIGN VARIANCE
Sq. Ft. per floor: First Heat Type(Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item Contractor Fees
VARIANCE WILLIAM TRULL $ 250.00
TOTAL FEES: $ 250.00
Applicant's Affidavit:
I certify that I have read and examined the information contained within the application and know the same OFFICIAL USE ONLY
to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of #Sets of Prints:
Yelm regulations including those governin zoning and land subdivision,and in addition,all covenants,
easements and restrictions of record.If a�plying as a contractor, I further certify that I am currently
registered in t State of Washingto .' , Final Inspection:
�_ .
Signature Date � �� � Date:
Firm '�' ! By:
Cit� of_Y�lm
(36 ) 458-8�02
RFL'#. 00111�45 1/3�/Zi�13 2;21 �'M
ONE�: CO l�Ef�h1: OC1
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IRAN: :33.Oi)00 f�UILDINL,' Pk�MlIS
2U 1;3t1116 25[).OOC,R
�fRULL., VJILLI�M
8111 YEl�l AUE W
VAR 2�i),Ot�CR
T��IUER�D: � 250 o GU Ol NER
APPLI�D: 250.OQ—
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