20130333 Permit Pkg 10082013 _
'f''�o4 iH�p,��' City of Yelm Permit No.: 20130333
9
� � Community Development Department Issue Date: 10/OS/2013
(Work must be completed within 180 days)
Building Division
Phone: (360)458-8407
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""`""'""°" Fax: (360)458-3144
Applicant:
Name: FIRST BAPTIST CHURCH Phone:
Address: P.O. BOX 5090
YELM WA 98597
Property Information:
Site Address: 602 103RD AVE SE Owner:
Assessor Parcel No.: 22730110102 Subdivision: N/A Lot: N/A
Contractor Information:
Name: FIRST BAPTIST CHURCH Phone:
Address:
P.O. BOX 5090
YELM WA 98597
Contractor License No.: Expires: 0/00/0000
Project Information:
Project: OTHER SPECIAL EVENT
Description of Work: HALLELUJAH PARTY BANNER, OCTOBER 18 THRU 31, 2013
Sq. Ft. per floor: First Heat Type(Electric,Gas, Other):
Second
Third
Garage
Basement
Fees:
Item Contractor Fees
SE FIRST BAPTIST CHURCH $ 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 regt�lations including those governing zoning and land subdivision,and in addition,all covenants,
easements and restrictions of rewrd. If pplying as a contractor,I further certify that I am currently Final Inspection:
registered in the��tate of W shi gton. � ,''j
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Signature � �L'1� i '�, l� ��`�,a � ' j( �� �;.,���ate V�1 � � Date:
Firm � By:
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2 0�3�333
0�,�� T�p�� City of Yelm
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Community Development Department
SPECIAL EVENT/TEMPORA.R Y USE
APPLICATION
YELM
WASMINCTON
�� Special Event Sign Permit(�imited to �4 days,4 times per calendar year)
Temp01'ary Use (property owner permission letter required)
(see REVERSE for regulations)
NAME OF PROJECT i`/a e � a'�l �QI"��
APPUCANT/BUSINESS NAME �,rs� Uo.,f�`.S 7' �-'-�t�.<�'�- 7
Mailing Address_� f�� �� � 5'G � `
City, State and Zip � e � �' 7�' ��
Telephone 3�G -- �,��"�,57�7 EMAIL ��c . k g� ,'u�r�, c rn�
City of Yelm Business License Number
SITE OWNER
Mailing Address
City, State and Zip
Telephone EMAIL �
SITE ADDRESS/LOCAT/ON �D� /�3 �u� S�
�e/1�n W� ��'S1 `7
SITE PARCEL NUMBER �
SUMM RY OF REQUEST r,z.r� �ct<z/t r-' ^<� r�« si� n
` t i(�'C/ �C? G�,�!'P/., /' /^�� d �c 7�C� '�'�-- / S '
START DATE C'�r�� �r ���'` ' END DATE O'��`-z> ���-- 3 i `'—
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 property as reasonably necessary to process this application.
Signed ;���'z�"��Z'�-�' �(,74��"�-� Date �C����l 3
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M�� ��:,�o�S cG�,�,-tf��� c�,�, ,� ��
I
OCT p 2 2
• ROUTING: SPECIAL EVENT Building Section
TEMPORARY USE Planning Section i� 'Qn
105 Yelm Auenue Weat (360) 458-3835
Yelm, WA 98597 (360)458-3144 FAX
www.ci.yelm.wa.us