20130240 Permit Pkg 06202013 o� City of Yelm Permit No.: 20130240
,� Community Development Department Issue Date: 6/20/2013
� (Work must be completed within 180 days)
Building Division
Phone: (360)458-8407
w ° FBX: (360)458-3144
Applicant:
Name: TACO GABY Phone: 360-458-2342
Address: 14345 WALTON LN SE
YELM WA 98597
Property Information:
site Address: 307 YELM AVE E owner:
Assessor Parcel No.: 22719341200 Subdivision: Lot:
Contractor Information:
Name: TACO GABY Phone:
Address:
14345 WALTON LN SE
YELM WA 98597
Contractor License No.: Expires: 0/00/0000
Project Information:
Project: OTHER SPECIAL EVENT
Description of Work: PRAIRIE DAYS BEER GARDEN, JUNE 27,2013
Sq. Ft. per floor: First Heat Type(Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item Contractor Fees
SE TACO GABY $ 0.00
TOTAL FEES: $ 0.00
Appli anYs Affidavit: OFFICIAL USE ONLY
I certi that I have read and examined the information contained within the application and know the same
to be rue and correct. I also certify that the proposed structure is in conformity with all applicable City of #Sets of Prints:
Yel regul ns including those governing zoning and land subdivision,and in addition,all covenants,
eas ents d restrictions of record. If applying as a contractor, I further certify that I am currently Final Inspection:
regi ered e ate of Washi ton.
Sign ture Date
Date:
Firm By�
�,�� T�p Cit of Yelm �13°��
4 �
ai
°' Community Deuelopment Department
SPECIAL EVENT/TEMPORAR Y USE
APPLICATION
YELM
W4SNINCTON
Special Event Sign Permit(�imitea to �4 days,4 times per calendar year)
Temporary Use (property owner permission letter required)
(see REVERSE for regulations)
NAME OF PROJECT � `C� G
APPLICANT/BUS/NESS NAME�Q�C_(�� �'�,t �t1
Mailing AddressJ4?�`�� �llC�t.l -�D�1 LVl S�
City, State and Zip �S
Telephone � Z EMAIL i J .�rn
City of Yelm Business License Number
S1TE OWNER
Mailing Address � �-1
City, State and Zip�� \��� G1�S�1�
Telephone � I EMAIL
SITE ADDRESS/LOCATION O V
���1 w�, �N� a���c�-
SITE PARCEL NUMBER
SUMMARY OF REQUEST Gl
'l,. ��1' L. .c
START DATE lQ 2 - �, END DATE � Z
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 nd representatives of th City of Yelm and other governmental agencies to enter upon and inspect
said pro as reasonably neces process ' application.
Sign Date � t���
ROUTING: SPECIAL EVENT Building Section
TEMPORARY USE Planning Section Building Section
105 Yelm Avenue West (360)458-3835
PO Box 479 (360)458-3144 FAX
Yelm., WA 98597 www.ci.yelm.wa.us