20130327 Permit Pkg 09132013 ��pF TH�A�� City of Yelm Permit No.: 20130327
3
� � Community Development Department Issue Date: 9/13/2013
(Work must be completed within 180 days)
Building Division
Phone: (360)458-8407
L lbi
`"'""°" Fax: (360)458-3144
Applicant:
Name: STOMPING GROUNDS ESPRESSO Phone: 360-458-5288
Address: 1008 YELM HWY E
YELM WA 98597
Property Information:
Site Address: 1008 YELM AVE E owner:
Assessor Parcel No.: 22730110209 Subdivision: Lot:
Contractor Information:
Name: STOMPING GROUNDS ESPRESSO Phone:
Address:
1008 YELM HWY E
YELM WA 98597
Contractor License No.: Expires: 0/00/0000
Project Information:
Project: OTHER SPECIAL EVENT
Description of Work: GRAND OPENING SEPT 14 THRU 28,2013 ALL DISPLAYS SHALL BE ON-SITE BACK OF
SIDEWALK LETTER FROM HEALTH DEPT REQUIRED FOR SERVICING BBQ
Sq. Ft. per floor: First Heat Type(Electric,Gas, Other):
Second
Third
Garage
Basement
Fees:
Item Contractor Fees
SE STOMPING GROUNDS ESPRESSO $ 0.00
TOTAL FEES: $ 0.00
App canYs Affidavit: OFFICIAL USE ONLY
I ce ify that I have read and examined the information contained within the application and know the same
to b true and correct. I also certify that the proposed structure is in conformity with all applicable City of #Sets of Prints:
Yel reg ations including those governing zoning and land subdivision,and in addition,all covenants,
eas�men s -restrictions of record. If applying as a�contractor, I further certify that I a currently Final Inspection:
regi:�tere i the S�ate of V1��sMngton - � �
� l . � I t� '
Sign ture� �': . '"�.,_ .� �` � �1+����� � Date:
Firm By�
�EP-12-2013 �8:�1A FROM: T0: 136�4583144 P. 1
�I�� 3�7
�,�� T"'� City o f Yelm
�
Community Deuelopment Departrrtent
SPEC.IAL EVENT/TEMPORAR Y USE
APPLICATION
ww*w�woTeN
,�!� Special Event Sign Permit(iimitea to ta days,4 times per calendar year)
Tempol'ary Use (property owner permiastnn letter requirod)
(see REVERSE for regula#ions)
NAME�F PROJECT ���-. 2-�' --
APPLICANT/BUSlNESS NAME 'c'o.�-�, � � v-� r�S �
Mailing Address o d � �..�
City, State and Zip
Telephorte o � -- S 2.88 EMAI L '-, -r �s r �.y ;�,co�
City of Yeirt�Business License Number 6
SITE QWNER 1 � �-Z �- . L , C_
Mailing Address `�y i1/ , r�. � ce� �. M ir c z S��
City, Sta#e and 2ip a o
Telephone 2c�b- 2 bS-- O S EMAIL � r t�.��., � ',,�o
SITE ADDRESS/LQCATI�N '- '`
�\ t,J q g 7
SlTE PARCEL NUMBER e�
I,� !� ,1.,� r ,<< f �; i'�, � i -.- /%�,_'(� �' � � '' � `
1�, r_ r' t,. ! r
SUMMARY OF EQUEST �� o �c..:.- a l ,' {�
c� .�. C` .� �. � o S �'
�
f � u��. '�' % �� f E' , � r ',. �• ,
tft l'� � E� � �� C�' Lf� i . t�� .� ' j!1`i.��
START DATE S2. � �'t END DATE S� � R'
I affirm that all answers,statements artd information above and submitted with this applicatfon are complete and
accurate to the best of my knowledge. I aiso affirm that I am the owner of the subject site or am duly auihotizfld by
the owner to act with respect to this appiication. Further, I grant permission fram the owner to any and all
employees and representatives of the Gity of Yelm and other govemmerrtal agencies to enter upon and inspect
said property easonably necessary to process this application.
Signed Date �' ` \ " t �
ROUTING: Cl,p,,.�AL EVEN' Building Section
7EMP�R^ARY USE Planning Sedion Building Section
Ip6 Yelm Avenue Weat (861!)4b&8836
PO Box 4�9 (860)458-8144 FAX
Yelm,WA 9$697 wwm_cl.yelm.wa.us