20130347 Permit Pkg 10292013 �'`�a� T"�p,��`�' City of Yelm Permit No.: 20130347
7
� � Community Development Department Issue Date: 10/29/2013
(Work must be completed within 180 days)
Building Division
Phone: (360)458-8407
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"".°"'""°" Fax: (360)458-3144
Applicant:
Name: BIG DADDYS Phone: 360-458-3332
Address: 15425 MOSMAN AVE SE
YELM WA 98597
Property Information:
Site Address: 15425 MOSMAN AVE SE owner:
Assessor Parcel No.: 21724440100 Subdivision: Lot:
Contractor Information:
Name: BIG DADDYS Phone:
Address:
15425 MOSMAN AVE SE
YELM WA 98597
Contractor License No.: Expires: 0/00/0000
Project Information:
Project: OTHER SPECIAL EVENT
Description of Work: GRAND OPENING BANNER
OCT 28 THRU NOV 11, 2013
Sq. Ft. per floor: First Heat Type(Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item Contractor Fees
SE BIG DADDYS $ 0.00
TOTAL FEES: $ 0.00
Applicant' Affidavit: OFFICIAL USE ONLY
I certify th t I have read and examined the information contained within the application and know the same
to be true�an orrect. 1 also certify that the proposed structure is in conformity with all applicable City of
Yelm reg�lati n in ing those governing zoning and land subdivision,and in addition,all covenants, #Sets of Prints:
easemen s a d trict ons of ecord. If applying as a contractor, I further certify that I am currently Final Inspection:
registere in h te f s in ton.
�i
Signature� Date Date:
Firm By
c��lo'�`�J��
4�,�� T�p�� City of Yelm
4 �
�' Community Development Department
SPECIAL EVENT/TEMPORAR Y USE
Y E LM �pLICATlON
WASNINGTON
Special Event Sign Permit (�imited to �4 days,4 times per calendar year)
Tempol'a�y Use (property owner permission letter required)
(see REVERSE for regulations)
NAME OF PROJECT
APPL/CANT/BUS/NESS NAME Y
Mailing Address ttiy25 ,M�S ��A•�✓ �.1r� SG'
City, State and Zip tU�1
Telephone ��.0� 3 �'32_ EMAIL
City of Yelm Business License Number
S/TE OWNER e v�i 14 �4-tC.L''" oL 3 p t t^tt
Mailing Address SFlM�
City, State and Zip
Telephone EMAIL � E 2 � �r-•
S/TE ADDRESS/LOCAT/ON 15 Z N�oS+�►���l �17�' �
S/TE PARCEL NUMBER
SUMMARY OF REQUEST T' 1 �/ �
t{tL� � c i �
START DATE /� ' END DATE
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 an presentativE of the City of Yelm and other governmental agencies to enter upon and inspect
said property reasonably cessary process this application.
/
Signed �"' Date � �'� �
t
ROUTING: SPECIAL EVENT Building Section
TEMPORARY USE Planning Section Buildinc�
_'' -.._�„ ��
105 Yelm Auenue West (360)4 -3835
Yelm, WA 98597 (360)4 8-314�2 8 2013
www.ci yelm.wa.us
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