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20130267 Permit Pkg 07112013 woF T"�p� City of Yelm Permit ►vo.: 20130267 o � � � Community Development Department Issue Date: 7/11/2013 (Work must be completed within 180 days) Building Division Phone: (360)458-8407 L ""��"'""°" Fax: (360)458-3144 Applicant: Name: PHOENIX COMPANY Phone: 360-960-8373 Address: 401 CREEK ST NE YELM WA 98597 Property Information: Site Address: 401 CREEK ST NE Owner: Assessor Parcel No.: Subdivision: Lot: Contractor Information: Name: PHOENIX COMPANY Phone: Address: 401 CREEK ST NE YELM WA 98597 Contractor License No.: Expires: 0/00/0000 Project Information: Project: OTHER SPECIAL EVENT Description of Work: PHOENIX COMPANY TOURNAMENT JULY 11 THRU 25,2013 Sq. Ft. per floor: First Heat Type(Electric, Gas, Other): Second Third Garage Basement Fees: Item Contractor Fees SE PHOENIX COMPANY $ 0.00 TOTAL FEES: $ 0.00 ApplicanYs 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 governing zoning and land subdivision,and in addition, all covenants, easements an restri ions of record. If applyi g as a contractor,I further certify that I am currently registered n t St of Wash� t n. Final Inspection: � ' Signature Date � Date: Firm By: �oi�o�� o�f T�p�.� City of �'elm - � � Community Deuelopment Department SPECIAL EVENT/TEMPORAR Y USE Y E LM �l'LICATION WASMINGTON Special Event Sign Permit(�imited to �4 days,4 times per calendar year) TempOraly Use (property owner permission letter required) (see REVERSE for regulations) NAME OF PROJECT � — �-- APPLICANT/BUS/NESS NAME � (� Mailing Address �-((�� C�c�pk S.�- 1��= City, State and Zip ��C'i Telephone .� �� EMAIL L °t, ' ,�d;,� City of Yelm Business License Number t��t� - aa t� - ��? - l 1 SITE OWNER ; .�' Mailing Address__ P��_ ,��ri � �� City, State and Zip � � Telephone�� , � bo- fc�� EMAIL ' �_(f �. . ��,.n � ' SITEADDRESS/LOCATION C.�c.�i C�v�� C t'j�- ,�Jr �Lelr�n w�9�7 S/TE PARCEL NUMBER SUMMARY OF REQUEST START DATE � i► J END DATE �"1 . �,�' � ,� 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 reasonably necessary to process this application. Signe Date � � I � ' �� 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 . � �..� ; � � ' � �� i f � �� i , �', � � O � � � �� J J u- � r � �� I �/ � � � '� � � �• �y/�� V � + \ '^ � � � I r �r? �.�` � � � � r� �c� �r �° `� � � � � � �� ., ' � � , � � , �� 7 � �--- �