20140137 Permit Pkg 03182014 pF THFp�, City of Yelm Permit No.: 20140137
�' 9
� �� Community Development Department Issue Date: 3/18/2014
o, [e (Work must be completed within 180 days)
Building Division
Phone: (360)458-8407
L
w�RN�IVGrqn Fax: (360)458-3144
Applicant:
Name: PACIFICA COFFEE COMPANY Phone: 253-377-5810
Address: PO BOX 2844
YELM WA 98597
Property Information:
Site Address: 201 TAHOMA BLVD SW owner:
Assessor Parcel No.: 21724130602 Subdivision: EAGLE PLAZA Lot:
Contractor Information:
Name: PACIFICA COFFEE COMPANY Phone:
Address:
PO BOX 2844
YELM WA 98597
Contractor License No.: Expires: 0/00l0000
Project Information:
Project: OTHER SPECIAL EVENT
Description of Work: GRAND OPENING
Sq. Ft. per floor: First Heat Type(Electric,Gas, Other):
Second
Third
Garage
Basement
Fees:
Item Contractor Fees
SE PACIFICA COFFEE COMPANY $ 0.00
TOTAL FEES: $ 0.00
ApplicanYs Affidavit: OFFICIAL USE ONLY
I certify at I have read and examined the information contained within the application and know the same
to be tr and correct. I also certify that the proposed structure is in conformity with all applicable City of #Sets of Prints:
Yelm re ulations including those gover ng zoning and land subdivision,and in addition,all covenants,
easem ts a d ctions of record. plying as a contractor, I further certify that I am currently Final Inspection:
register d in e St e of Washington. �
Date:
Signatur Date
By:
Firm
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r°�°.i
��,Q� T"���,� City o f Yelm
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Community Development Department
SPECIAL EVENT/TEMPORA.RY USE
APPLICATION
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'� Special Event Sign Permit (limited to �4 days,4 times per calendar year)
Tempol'ary Use (property owner permission letter required)
(see REVERSE for regulations)
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NAME OF PROJECT `�=�C�=�?l� �����-"�''����
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APPLICANT/BUSINESS NAME "�' "t�� �'"� � � � �/�� � � `
Mailing Address `�
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City, State and Zip
Telephone �2�� --�7 7 ":�� /�.% EMAIL %�' �?/1�' �'���' � � �
City of Yelm Business License Number
SITE OWNER
Mailing Address
City, State and Zip
Telephone EMAIL
SITE ADDRESS/LOCATION
� '
SITE PARCEL NUMBER
SUMMA Y OF REQUEST � �� � ?
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START DATE �-�2% !" �CCI' �O / END DATE O � ���' � -�1 �
I affirm that all answers,statements and information above and submitted with this application are complete and
accurate to the�of my knowledge. I also affirm that I am the owner of the subject site or am duly authorized by
the owner to a�t witli,�espect to this applicat�on. Further, I grant permission from the owner to any and all
employee nd rep� sentatives of the Ci `of Yelm and other govemmental agencies to enter upon and inspect
p
said pro rty r s nab�y nece a rocess this application.
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Si ed � � ��� ' "�;��/ �C�� Date �/ �/�C�� c�_v� �
ROUTING: SPECIAL EVENT Building Section
TEMPORARY USE Planning Section Building Section
105 Yelm Auenue West (360)458-3835
Yelm,WA 98597 (360)458-3144 FAX
www.ci.yelm.wa.us