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20130271 Permit Pkg 07162013 �oF iN�'a� City of Yelm Permit ►vo.: 20130271 � � Community Development Department issue Date: 7/16/2013 - (Work must be completed within 180 days) Building Division Phone: (360)458-8407 '"""'"`�°" Fax: (360)458-3144 Applicant: Name: FIRST BAPTIST CHURCH Phone: Address: P.O. BOX 5090 YELM WA 98597 Property Information: site Address: 602 103RD AVE SE owner: Assessor Parcel No.: 22730110102 Subdivision: N/A Lot: N/A Contractor Information: Name: FIRST BAPTIST CHURCH Phone: Address: P.O. BOX 5090 YELM WA 98597 Contractor License No.: Expires: 0/00/0000 Project Information: Project: OTHER SPECIAL EVENT Description of Work: VACATION BIBLE SCHOOL, JULY 27 THRU AUG 10, 2013 Sq. Ft. per floor: First Heat Type(Electric, Gas, Other): Second Third Garage Basement Fees: Item Contractor Fees SE FIRST BAPTIST CHURCH $ 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 regulatio "ncluding those governing zoning and land subdivision,and in addition,all covenants, easements and rest ' ions of recorc�. If applying as a contractor, I further certify that I m currently Final Inspection: registered i�the tat of ashi tqt�. ' , �� r � /' Signature ' � � � � � � ate � � ->—� Date: � By: Firm � ���o�,�I ��� T�p�,� City of Yelm ' p�, e Community Development Department SPECIAL EVENT/TEMPORAR Y USE APPLICATION YELM , WASNINGTON �r�� � � /\ �� �� /` ��w Pi l�� ;u ) ��. , i_ k',.' ` `��J Special Event Sign Permit(�imitea to �4 days,4 times per calendar year) Temporaly Use (property owner permission letter required) (see REVERSE for regulations) NAME OF PROJECT V��'�f`(�� �� �/� �c-G� APPLICANT/BUS/NESS NAME �� �� � � ��-• j ��-� Mailing Address /�C� ; �� ��'�� -� . (,v �' Citv State and Zip � %/ l .� � Telephone 3��`�.Sy-�7�� 7 EMAIL _ /awe��(t' ;ur�u, c���- City of Yelm Business License Number S/TE OWNER S � Mailing Address City, State and Zip Telephone EMAIL SITE ADDRESS/LOCATION C1" � r'�' S� --�L�� l .- SITE PARCEL NUMBER SUMMA Y OF REQUEST , � � � � . � c� (�j]�G� /1 cv�2 r� START DATE 1 END DATE � d �P/ �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 irm that I am the owner of the subject site or am duly authorized by the owner to act with respect to this appli . Further, I grant permission from the owner to any and all employees and re sentatives of the elm and other governmental agencies to enter upon and inspect said property a as nably ecess process this application. j � �/ � � Signed U/� `�`� Date � �� 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 9859� www.ci.yelm.wa.us