20130345 Permit Pkg 10252013 _
wo� t"�p,� City of Yelm Permit ►vo.: 20130345
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� � Community Development Department Issue Date: 10/25/2013
(Work must be completed within 180 days)
Building Division
Phone: (360)458-8407
LM
'""°" Fax: (360)458-3144
Applicant:
Name: OBEE CREDIT UNION Phone:
Address: 1201 YELM AVE E
YELM WA 98597
Property Information:
Site Address: 1201 YELM AVE E owner:
Assessor Parcel No.: 22730110403 Subdivision: Lot:
Contractor Information:
Name: OBEE CREDIT UNION Phone:
Address:
1201 YELM AVE E
YELM WA 98597
Contractor License No.: Expires: 0/00/0000
Project Information:
Project: OTHER SPECIAL EVENT
Description of Work: GRAND OPENING, OCT 26 THRU NOV 9,2013
Sq. Ft. per floor: First Heat Type(Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item Contractor Fees
SE OBEE CREDIT UNION $ 0.00
TOTAL FEES: $ 0.00
Applican s Affidavit: OFFICIAL USE ON�Y
I certify t at I h d and examined the information contained within the application and know the same
to be tru a correct. I also certify that th oposed structure is in conformity with all applicable City of #Sets of Prints:
Yelm re I tions incl ding those governi g zo�ing and land subdivision,and in addition,all covenants,
easeme ts a rest ctions of record. If pplyi as a contractor, I further certify that I am currently
registere in St e of W in ton. � Final Inspection:
Signature Date W 2 Date:
Firm BY�
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T , 2��303 �S
��� �p�` City of Yelm
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Community Deuelopment Department
SPECIAL EVENT/TEMPORA.R Y USE
� Y E LM �PLICATION
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� WASHINCTON
V S ecial Event Si n Permlt limited to 14 da s, 4 times er calendar ear
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Temp01'at'y USe (property owner permission letter required)
(see REVERSE for regulations)
i (' �
' NAME OF PROJECT ��
APPLICANT/BUS/NESS NAME t L
Mailing Address � l �:: ,
_� C�
City, State and Zip
Telephone 6 - EMAIL p ' �
City of Yelm Business License Number� I ��-C5[� Z(„ 3, �
S/TE OWNER P�.
Mailing Address � c�
City, State and Zip (,�VY1 �,J
Telephone - - EMAIL � � m
SITE ADDRESS/LOCATION
SITE PARCEL NUMBER
SUMMARY OF REQUEST
START DATE I � � � END DATE I t
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 represent ' of the City of Yelm and other governmental agencies to enter upon a inspect
said p ert as reason ly ne sary to process this application. ,��
Signed � Date (0 2-� �
O
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ROUTING: SPECIAL EVENT Building Section l� ' �
TEMPORARY USE Planning Section Building ion
\ ,
]05 Yelm Auenue West (360) 458-3835 �\ ,,
Yelm, WA 98597 (360)458-3144 F
www.ci.yelm.wa.us