20130289 Permit Pkg 08062013 �oF TH�a� City of Yelm Permit No.: 20130289
o �
4 � Community Development Department Issue Date: 8/06/2013
(Work must be completed within 180 days)
Building Division
Phone: (360)458-8407
L
'"'""°" Fax: (360)458-3144
Applicant:
Name: TACOMA GOODWILL INDUSTRIES Phone: 253-573-6671
Address: 714 S 27TH ST
TACOMA WA 98409
Property Information:
site Address: 906 YELM AVE E B owner:
Assessor Parcel No.: 227330110204 Subdivision: N/A Lot: N/A
Contractor Information:
Name: TACOMA GOODWILL INDUSTRIES Phone:
Address: DOUG SAWYER
714 S 27TH ST
TACOMA WA 98409
Contractor License No.: Expires: 0/00/0000
Project Information:
Project: OTHER SPECIAL EVENT
Description of Work: AUGUST BACK TO SCHOOL BANNER AUGUST 12 THRU SEPT 3,2013
Sq. Ft. per floor: First Heat Type(Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item Contractor Fees
SE TACOMA GOODWILL INDUSTRIES $ 0.00
TOTAL FEES: 5 0.00
Applic nt's Affidavit: OFFICIAL USE ONLY
I certi that I have read and examined the information contained within the application and know the same
to be t ue and correct. I also certify that the proposed structure is in conformity with all applicable City of #Sets of Prints:
Yelm gulations including those governing zoning and land subdivision,and in addition,all covenants,
ease nt a estridions of record. applying as a contractor,I further certify that I am currently Final Inspection:
regist red' th State of sh�ngton
Signat re W J � Date � � Date:
i gy.
i
Firm
I
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( ��� T�l'.� City of Yelm
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°' Cornmu�tity Development Depdrtment
SPECIAL EVaENT/7'EMPORARY USE
APPL�CATION
YEL
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Special Event Sign Permit(iimttea to�a days,4 times psr calendar year}
Tempo!'ary USe(property owner permissiQn letter required)
(see REVERSE for regulations)
NAME OF PROJECT�1 C',��Sfi � �X�C_I-�- -�7 S��hoc��
APPLICANT/BUSINESS NAME �
Mailing Address �t,� � Ss���. ��_� �m L��` q����
City, State and Zip � .l W� 8 S`�
Telephone�(av�-�op���oo EMA1L SS; +�►1-.cmS �ce»-�uoocj ti lt, ot'�
City o#Yeim Business License Number
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S1TE OWNER''�'�c c,r,.,r. ��.r.c+c����\\ t�ndvst-e.i.e S
Mailing Address ` 1 �
Ci#y, State and Zip `Cc�ss�i�v�r� � � �' O
Te{ephone26(�-5�7� �-�Sac� EMAIL
StTE ADDRESS/LOCATION
SITE PARCEL NUMBER
StJMMARY OF REQUEST
.
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START DAFE � � 1 _ END DATE
I affirm that all answers,statements and information above and submitted wiih this applicaGon are complete and
accurate to the best of my knowledge. I also affirm that I am the awner of the subject site or am duly authorized by
the owner to act with respect to this application. FuRher,1 grant permission from ihe owner to any and all
ampbyees aod representatives of the City of Yelm and other governmenta!agencies to enter upon and inspect
said propert as reaso�ably necessary to process this application.
5�9�� Date ,,,,,S I S I I'�i
ROUT{NG: SPECIAL EVENT Building Ssc6on
7EMPORARY USE Planning Section Building Section
1Q5 Yel�rs Aveni�e CVest (360)a58-3835
PO Bo1479 (360)458-3144 FAX
}etnr,WA 98597 mui�.ci.yelm.u�t+.t�s