20130285 Permit Pkg 08022013 �aF TN�p� City of Yelm Permit ►vo.: 20130285
� ��
� Community Development Department Issue Date: 8/02/2013
(Work must be completed within 180 days)
Building Division
Phone: (360)458-8407
L
""""'""°" Fax: (360)458-3144
Applicant:
Name: YELM LEARNING TREE LLC Phone:
Address: 15826 104TH AVE SE
YE�M WA 98597
Property Information:
Site Address: 204 YELM AVE E owner:
Assessor Parcel No.: 64400701500 Subdivision: Lot:
Contractor Information:
Name: YELM LEARNING TREE LLC Phone:
Address: KIM DREHLE
15826 104TH AVE SE
YELM WA 98597
Contractor License No.: Expires: 0/00/0000
Project Information:
Project: OTHER SPECIAL EVENT
Description of Work: OPEN HOUSE AND NOW ENROLLING BANNER. JULY 29 THRU AUGUST 26, 2013
Sq. Ft. per floor: First Heat Type(Electric,Gas, Other):
Second
Third
Garage
Basement
Fees:
Item Contractor Fees
SE YELM LEARNING TREE LLC $ 0.00
TOTAL FEES: S 0.00
ApplicanYs Affidavit: OFFICIAL USE ONLY
I certify that I have read and examined the information contained within the application and know the same
to be tru and correct. I also certify that the proposed structure is in conformity with all applicable City of #Sets of Prints:
Yelm re ul ions including those governing zoning and land subdivision,and in addition,all covenants,
easem nt n s 'ctions of record. If applying as a contractor,I further certify that I am currently Final Inspection:
registe d i t e of Washi gt n
Signatu e �M�% Date
Date:
Firtn BY'
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�1302'.�
a�,�� T�p�.� City of Yelm --
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Community Development Department
SPECIAL EVENT/TEMPORAR Y USE
Y E LM �PLICATION
WASHINGTON
� Special Event Sign Permit (�imited to �4 days,4 times per calendar year)
TempOrary Use (property owner permission letter required)
(see REVERSE for regulations)
NAME OF PROJECT �,QJ� �2�J"�1�j��.. f !,�-�- ��,�--Se-�� � L l.�
APPLICANT�BUS/NESS NAME � L e c,� '
Mailing Address �Sn6�� /��1�- /.�t��S � . � , �
City, State and Zip i Pa� (,c�tt� ��
Telephone � EMAIL �' .,P � -t^.� - -,.�
City of Yelm Business License Number —
SITE OWNER
Mailing Address �
City, State and Zip �
Telephone EMAIL
S/TE ADDRESS/LOCAT/ON �
SITE PARCEL NUMBER �-
SUMMARY OF REQUEST " ;c !�
UrU .+^ �
�
START DATE D END DATE C�
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 propert as reasonably necessary to process this application.
Signed Date d1 ��
� VED
ROUTING: SPECIAL EVENT Building Section
TEMPORARY USE Planning Section Buildin Sectio�� 2 2��3
105 Yelm Avenue Weat (360) 45
Yelm, WA 98597 (360)458-3144 FAX
www.ci.yelm.wa.us