20140114 Permit Pkg 01292014 "��o� ''"Fp�,�" City of Yelm Permit No.: 20140114
�
a � Community Development Department Issue Date: 1/29/2014
(Work must be completed within 180 days)
Building Division
Phone: (360)458-8407
EL
"'.`"'"°�°" Fax: (360)458-3144
Applicant:
Name: LIBERTY TAX SERVICE Phone: 400-1401
Address: PO BOX 2890
YELM WA 98597
Property Information:
Site Address: 715 YELM AVE E owner:
Assessor Parcel No.: 22730120102 Subdivision: Lot:
Contractor Information:
Name: LIBERTY TAX SERVICE Phone:
Address:
PO BOX 2890
YELM WA 98597
Project Information:
Project: OTHER SPECIAL EVENT
Description of Work: JAN 28 THRU FEB 11, FEB 24 THRU MARCH 10, MARCH 17 THRU MARCH 31, APRIL 1
THRU APRIL 15, 2014
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item Contractor Fees
SE LIBERTY TAX SERVICE $ 0.00
TOTAL FEES: $ 0.00
Applica Ys Affidavit:
I certify at I have read and examined the information contained within the application and know the same OFFICIAL USE ONLY
to be tr e and correct. I also certify that the proposed structure is in conformity with all applicable City of #Sets of Prints:
Yelm r gul ions i luding those go erning zoning and land subdivision, and in addition,all covenants,
easem nt a es ictions f recor . If applying as a contractor, I further certify that I am currently Final Inspection:
registe�ed n S te o ingto .
Signat re Date:
Firm BY�
�
JAN-29-2014 09:32 From: To:3604583144 Page:2�2
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City of Yelm
a�
� Community Developr►Lent Department
SPECIAL EVEIVT/TEMPORARY USE
APPLI CA�'1'ON
:
� Special �vent Sign Permit��im«ed co�a days�a ttmes¢e�caien�a�y@ar�
Temporary Use (property owner permtsslon letter required)
(see REVERSE for regulations)
NAME OF PROJECT
APPLICAN7YBUS/NESS NAME 1� � � �C Cr
Mailing Address '�1S ' �IC�LI''� J F L-'� �`3- 3 __
City, State and Zip S ?
Telephone 3�0- 04- EMAIL �r ' . �m
City of Yeim Business License Number 1 Q 9/S°'
S/TE OWNER
Mailing Address __ ,
Clty, State and Zip
Telephone EMAiL
SITE ADDRESS/LOCATION
S/TE PARCEL NUMBER
SUMM'MARY OF REQUEST
$TART DATE 8' / END DATE /l 1
a y- 3 io i i -� �3!li �l/ - 4 is l
I a�irm that all 8nswer9,statements and information above and submitted wlth this application are Comptete and
eccurete to the best of my knowledge. I also a�Nrm that 1 em the owner of the subJect sfte or am duly authortzed by
the owner tv acE with re5pect to fhis applicatlon. Further, I grent permisslon from tha owner to any and all
employees and representatives of the Ciry ot Yelm and other govemment8l agencies ta enter upon and Inspect
said property as r8asonably necessary to process this application.
8igned_�Ql�,�� `, Date����'"�T
ROUTING: ' SPECIAL EVENT Building Sectfon
TEMPORARY USE �Planning SecUon Bullding Se�tion
106 Yelm Auenue Wesf (860)458-3 8��,`�'—°�-r ��
FO Eox 079 (aS0)Q6&814� �l�t �'•���' +' �
Ye�m,WA 98697 eawrn.ci.yelr.►.r++a.u8
,1AN 2 8 2014
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JAN-29-2014 09:32 From: To:3604583144 Pa9e: 1�2
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L�B����
Tax
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Corn an Name: Libe Tax Service S��Vi��
p Y �Y
t'hone: (360) 400-1401
FAX: (360)400-1403 -
� Address: 715 E. Yelm Ave
Yelm, W� 98597
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