20130115 Permit Pkg 01312013 �aF T�P� City of Yelm Permit No.: 20130115
''� Community Development Depa�tment issue Date: 7/31/2013
d (Work must be completed within 180 days)
Building Division
Phone: (360)458-8407
L
".`"'"`_°" Fax: (360)458-3144
Applicant:
Name: LIBERTY TAX SERVICE Phone: 400-1401
Address: PO BOX 2890
YELM WA 98597
Property Information:
site,4ddress: 715 YELM AVE E owner:
Assessor Parcel No.: 22730120102 Subdivision: Lot:
Contractor Information:
Name: LIBERTY TAX SERVICE Phone:
Address:
PO BOX 2890
YELM WA 98597
Contractor License No.: Expires: 0/00/0000
Project Information:
Project: OTHER SPECIAL EVENT
Description of Work: FEBRUARY 1 THRU APRIL 15,2013 USING ALL FOUR SPECIAL EVENTS FOR THE YEAR
OF 2013
Sq. Ft. per floor: First Heat Type(Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item Contractor Fees
SE LIBERTY TAX SERVICE $ 0.00
TOTAL FEES: $ 0.00
Applicant's Affidavit: OFFICIAL USE ONLY
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 #Sets of Prints:
Yelm re�ulati(�ns-incl ding those governing zoning and land subdivision,and in addition,all covenants,
easemerKs'��nd restrict ns of record. If applying as a contractor, I further certify that I am currently Final Inspection:
register@d i�the Stat of Washi ton.
�� j / ; - � Date:
Si natur� �t ' ' r J , Date
By:
Firm �''�
i
Zo�3o I 15�
�,o� T�p,�� City o f Yelm
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Community Deuelopment Department
SPECIAL EVENT/TEMPORA.R Y USE
APPLI CATION
YELM
WASNINGTON
S ecial Event Si n Permit(limited to 14 days,4 times per calendar �CEIVED
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P g
letter re uired
Tem ora Use (property owner permission q )
rv 13
p 20
JAN 29
(see REVERSE for regulations) BY:
NAME OF PROJECT
APPL►CANT/BUSINESS NAME L I +3 E�T Y TI=� x S��� �C�
Mailing Address �'G C�OX c�S`�C�
�i� rv�. t�v-� �'8�9 '�7 _
City, State and Zip
I L �1 YVi Cx. - � �.QM
Telephone� �-I Dn I� D � EMA la .t� t er _
City of Yelm Business License Number I �— 1�] 14 . �
S/TE OWNER
Mailing Address
City, State and Zip
Telephone EMAIL
SITE ADDRESS/LOCATION I �
�
SITE PARCEL NUMBER
SUMMARY OF REQUEST
START DATE�l ��P� o��i?� END DATE
.- r4 � • v�� ►� — o - I ,�r3 .
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 nece�,sary to process this application.
Signed � � Date ,�� � l� �
� ROUTING: SPECIAL EVENT Building Section
TEMPORARY USE Planning Section Building Section
105 Yelm Auenue West (360)458-3835
PO Box 479 (360) 458-3144 FAX
Yelm, WA 98597 www.ci.yelm.wa.us