20130283 Permit Pkg 08222013 �o��'HFp� City of Yelm Permit No.: 20130283
a �� Community Development Department Issue Date: 8/22/2013
(Work must be completed within 180 days)
Building Division
Phone: (360)458-8407
L
""•`„,"�'°" Fax: (360)458-3144
Applicant:
Name: WALTS TIRE Phone: 360-400-9258
Address: P.O. BOX 2789
YELM WA 98597
Property Information:
Site Address: 509 YELM AVE E owner:
Assessor Parcel No.: 22719342901 Subdivision: Lot:
Contractor Information:
Name: WALTS TIRE Phone:
Address:
P.O. BOX 2789
YELM WA 98597
Contractor License No.: Expires: 0/00/0000
Project Information:
Project: OTHER SPECIAL EVENT
Description of Work: FALL SPECIALS CAMPAIGN,AUGUST 23 THRU SEPT 6,2013
Sq. Ft. per floor: First Heat Type(Electric,Gas, Other):
Second
Third
Garage
Basement
Fees:
Item Contractor Fees
SE WALTS TIRE $ 0.00
TOTAL FEES: S 0.00
Appli 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 e and correct. I also certify that the proposed structure is in conformity with all applicable City of #Sets of Prints:
Yelm r gulations including those governing zoning and land subdivision,and in addition,all covenants,
easem nts d re ' ions of record. If applying as a contractor,I further certify that I am currently Final Inspection:
register d in State f Washin ton. �
Signatur �� Date Date:
Firm BY'
� �
�r��z�
4�� T�p��` City of Yelm
� �
°' Community Deuelopment Department
SPECIAL EVENT/TEMPORAR Y USE
APPLI CATION
YELM
WASMINGTON
Special Event Sign Permit (limited to 14 days, 4 times per calendar year)
Tempor'ary Use (property owner permission letter required)
(see REVERSE for regulations)
NAME OF PROJECT 7 �T l� d� G�fu✓'j��-,'t� ��°��,a�L-S ��f���s'
APPUCANT/BUSINESS NAME G ' ���' 7��
Mailin Address �' �'
�pX ����^
City, State and Zip � � /•t�f� � � �
Telephone 0 0 - EMAIL �C� ► D-L- � � �
City of Yelm Business License Number
� SITE OWNER
Mailing Address
City, State and Zip
Telephone EMAIL
SITE ADDRESS/LOCATION
SITE PARCEL NUMBER
SUMMARY OF REQUEST
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 k wledge. Iso affirm that I am the owner of the subject site or am duly authorized by
the owner to act with respec to t ' a lication. Further, I grant permission from the owner to any and all
employees and re res ta th City of Yelm and other governmental agencies to enter upon and inspect
said property s a e s to process this application.
Signed Date �� �� �
ROUTING: SPECIAL EVENT Building Section
TEMPORARY USE Planning Section Building Section
105 Yelm Auenue West (360)458-3835
Yelm, WA 98597 (360)458-3144 FAX
www.ci.yelm.wa.us