20140123 Permit Pkg 02102014 o�oF THEp,���' City of Yelm Permit ►vo.: 20140123
� � Community Development Department Issue Date: 2/10/2014
d e++ (Work must be completed within 180 days)
Building Division
Phone: (360)458-8407
EL
""'°"'"`T°" Fax: (360)458-3144
Applicant:
Name: CASA MIA Phone: 400-2277
Address: PO BOX 1200
YELM WA 98597
Property Information:
site Address: 134 PRAIRIE PARK ST NE owner:
Assessor Parcel No.: 99002058849 Subdivision: Lot:
Contractor Information:
Name: CASA MIA Phone:
Address:
PO BOX 1200
YELM WA 98597
Contractor License No.: Expires: 0/00/0000
Project Information:
Project: OTHER SPECIAL EVENT
Description of Work: VALENTINE BANNER
Sq. Ft. per floor: First Heat Type(Electric,Gas, Other):
Second
Third
Garage
Basement
Fees:
Item Contractor Fees
SE CASA MIA $ 0.00
TOTAL FEES: $ 0.00
Applic nYs Affidavit: OFFICIAL USE ONLY
I certif that I have r d and examined the information contained within the application and know the same
to be tr e an rrect. Iso certify that the proposed structure is in conformity with all applicable City of #Sets of Prints:
Yelm r gulati, s includ� g those governing zoning and land subdivision,and in addition, all covenants,
easem nts a restri ons of record. If applying s a contractor,I further certify that I am currently Final Inspection:
registe d in ta f Washington.
Signatu e � Date:
Date
By:
Firm
Feb 07 14 05:13p Yelm Casa Mia 360-400-3133 p.1
0��� T�A�� C'ity o f Yelm o�i�'`T� 1 !��
4C �
°' Commur�ity DeveZo�nment Depcxrtment
SPECIAL EVEIVT/�"ENfP�RAR Y USE
APP�I CAZ'��N
YELM -
wpsr�naaror�
Special E�ent Sign Permit �timited to �a days,4 times per calendar year)
Temporary Use �property owner permission letter required)
(see REVERSE for regulations}
NAME OF PROJEC7 I(.� I� n�� �«�'L'�
APPL(CANT/BUSINESS NAME rYl �S� G.
Mailing Address
City, State and Zip t �� f��- r- �:- t J .�
Telephone ' �c ��--�- �- � � EMAIL � a- C h� � �``'�
City of Yelm Business License Number
- SfTE OWNE -��✓'
Mailing Address � .0 . L ���c t v�
City, State and Zip ��t-P 1 r�--L �� �
Telephone„� L' ��-��� 1 EMAIL
SITE ADDRESS/LOCATION �
SlTE P►�RGEL IV UMBER
SUMMARY OF REQUEST
S7ART DATE - E/YD DATE --�.._ -
I afFrrn thai aEl answers,statements and information above and submitted with this application are complete and
accurate to the best of my knowledge. I also affirrn that I am the owner of the subject site or arn duly authorized by
the owner to act with respeet to this application. �'urther, I grant permission frorn the owner to any and all
employees and representatives of the City of Yelm and other governmental agencies to enier upon and inspect
said rop as reasonably nece�o process this applica#ion.
Signed � •�SZ. " Date �Y�`- �' �_ !._
ROUTING: SPECIAL EVENT 8uilding Section
TEMPORARY USE Planning Section Building Section
�
l05 Yelm.Avenue West (360)458-3835
Ye2m,WA 9859? (360)45�3144 FAX
wurte�.c i.yelm.wa.us