20130292 Permit Pkg 08132013 t� T��a� Clt of Yelm Permit No.:
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� � Community Development Department Issue Date: 8/13/2013
(Work must be completed within 180 days)
Building Division
Phone: (360)458-8407
Y�LM
""�„,"`�'�"" Fax: (360)458-3144
Appficant:
Name: MODERN TRENDZ SALON Phone: 360-701-7099
Address: 715 YELM AVE EAST
YELM WA 98597
Property Information:
Site Address: 715 YELM AVE E Owner: RANDY PAIGEN
Assessor Parcel No.: 22730120102 Subdivision: Lot:
Contractor Information:
Name: MODERN TRENDZ SALON Phone:
Address: ANN
715 YELM AVE EAST
YELM WA 98597
Contractor License No.: Expires: 0/00/0000
Project Information:
Project: OTHER SPECIAL EVENT
Description of Work: SPECIAL EVENT FOR 8-18-2013
Sq. Ft. per floor: First Heat Type(Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item Contractor Fees
SE MODERN TRENDZ SALON $ 0.00
TOTAL FEES: $ 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 true and correct. I also certify that the proposed structure is in conformity with all applicable City of #Sets of Prints:
Yelm regulations including those governing zoning and land subdivision,and in addition,all covenants,
easements and restrictions of record. If applying as a contractor, I further certify that I am currently Final Inspection:
registered in the State of Washington.
Signature Date Date:
Firm BY�
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I a�rm thaf alJ answers,sfatements and informatian above and submittecl with this application are ccrmplete and
accur�te to th�:best of my knowiecige. f also a#firm that I am th�owrier oi the subject site c�r�m du€y authorized by
t�ie awner to act with resp�ct to this application. f�urther,i grant��rmission fram#h�owner to any and all
�mpiayees and representatives af the City af Yelm and oiher qovernrr�entai a,r�ericies ko enter upon and inspect
said property a�easanabiy necessary to process this ap�ficatian.
Signed L•,��- ��,�Jae--a� Da2e__�,� ��"�" Z�f �
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RQUTING: SPEC3AL EVEN7"__,._.....w_.v._.._.. -----�uilding SE�tian ---�_
TEMPORARY IISE Piannir�g S�ctian Suilding Sec#ion
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