20130255 Permit Pkg 06272013 O�dF�H�A� City of Yelm Permit ►vo.: 20130255
7
� �, Community Development Department Issue Date: 6/27/2013
(Work must be completed within 180 days)
Building Division
Phone: (360)458-8407
LM
�"�""'""°" Fax: (360)458-3144
Applicant:
Name: QT SPA NAILS Phone: 360-400-2204
Address: 1406 YELM AVE. EAST, STE. B
YELM WA 98597
Property Information:
Site Address: 1406 YELM AVE E Owner:
Assessor Parcel No.: 22730140202 Subdivision: Lot:
Contractor Information:
Name: QT SPA NAILS Phone:
Address: ROBERT LE
1406 YELM AVE. EAST, STE. B
YELM WA 98597
Contractor License No.: Expires: 0/00/0000
Project Information:
Project: OTHER SPECIAL EVENT
Description of Work: NO STAKE TYPE SIGNS. A-BOARD SIGNS ARE O.K. NO SIGNS ON THE STREET SIDE OF
THE SIDEWALK.
Sq. Ft. per floor: First Heat Type(Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item Contractor
sE Fees
j QT SPA NAILS $ 0.00
TOTAL FEES: $ 0.00
;�
Applic nt's Affidavit:
I certiff�that I h e read and examined the information contained within the application and know the same OFFICIAL USE ONLY
to be t�ue and rrect. I also certify that the proposed structure is in conformity with all applicable City of
Yelm egulatio incl n those governing zoning and land subdivision,and in addition,all covenants, #Sets of Prints:
ease ents an re ictio s of reco . If applying as a contractor, I further certify that I am currently
regist red in t tate Washi g n. � Final Inspection:
Signa re � Date Date:
Firm gy:
��FT�A�.y�` City of Yelm
- � � �(...�oJti/Vtr,,I il
Community Development Department
SPECIAL EVENT/TEMPORAR Y USE
YELM �'�'LICATION
WAENINCTON
Special Event Sign Permit(�imited to �4 days, 4 times per calendar year)
TempOraty USe (property owner permission letter required)
(see REVERSE for regulations)
NAME OF PROJECT
APPLICANT/BUS/NESS NAME
Mailing Address �, p
City, State and Zip_ ��1 Pt-
Telephone �fL G�� �p� EMAIL
City of Yelm Business License Number
�' �.� Gr��v[-
SITE OWNER
Mailing Address
City, State and Zip
Telephone EMAIL
S/TE ADDRESS/LOCATION
SITE PARCEL NUMBER
SUMMARY OF REQUEST ,t1%",r . S ff-1�('� i1,l�,� S�:C-�,�
� �` '�; , �
- k r ,�r r " � /i F �/1 �'��y
,.
.
_ �- �r.��-. ,n t� � � ,�L� S/5��, . ��� C
�o �
C� , . —
_ ,�� �' °c� /
c' � .� -� _S � ,�, �
START DATE END DATE
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 reaso ably cessary to process this application.
Signed Date 2�' �
ROUTING: SPECIAL EVENT Building Section
TEMPORARY USE Planning Section Building Section
105 Yelm Avenue West (360)458-3835
PO Box 479
Yelm, WA 98597 (360)458-3144 FAX
www.ci.yelm.wa.us