20140183 Permit Pkg 06052014 '��o� T"�p,p'� City of Yelm Permit ►vo.: 20140183
'
� � Community Development Department Issue Date: 6/05/2014
(Work must be completed within 180 days)
Building Division
Phone: (360)458-8407
LM
""'""°" Fax: (360)458-3144
Applicant:
Name: THE SILVER MIC Phone: 360-446-0170
Address: PO BOX 994
RAINIER WA 98576
Property Information:
Site Address: 704 YELM AVE W owner:
Assessor Parcel No.: 21724141100 Subdivision: Lot:
Contractor Information:
Name: THE SILVER MIC Phone:
Address: BRAD OLDER
PO BOX 994
RAINIER WA 98576
Contractor License No.: Expires: 0/00/0000
Project Information:
Project: OTHER SPECIAL EVENT
Description of Work: GRAND OPENING JUNE 6 THRU 18, 2014
Sq. Ft. per floor: First Heat Type(Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item Contractor Fees
SE THE SILVER MIC $ 0.00
TOTAL FEES: $ 0.00
Applican 's Affidavit: OFFICIAL USE ONLY
I certify t at I have a examined the information contained within the application and know the same
to be tru and c ect. I als certify that the proposed structure is in conformity with all applicable City of #Sets of Prints:
Yelm reg lation includin those governing zoning and land subdivision,and in addition,all covenants,
easemen s and r strictio of record. If plying as a contractor, I further certify that I am currently Final Inspection:
registere in th t e of Wa ington. _
( /� V Date:
Signature { � �/Date (S
Firm By
2fl t4o (a3
���� TH��y���.� City of Yelm
� �
Community Development Department
SPECIAL EVENT/ TEMPORARY USE
EL
APPLICATION
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Special Event Sign Permit (�imited to �a days,4 times per calendar year)
Tempot'a1'y Use (property owner permission letter required)
(see REVERSE for regulations)
NAME OF PROJECT ,'1��= 5����/� /`'I�G ��n C�9r��.w«
APPUCANT/BUSINESS NAME T-!fG Sj�vc-.�2 J`Z� C
Mailing Address � G� ��i� 9��
City, State and Zi� �'1� � �. 8� S` 6
Telephone j60 5`a'"Z-S oU EMAIL 6r �.� ol der � Sa �' rr�,�c'� ",'�� �
City of Yelm Business License Number
SITE OWNER f���1ly / ���
Mailing Address /�� a� B oX �L p d
City, State and Zip o �u �
Telephone �;3�o �� �33 EMAIL
SITE ADDRESS/LOCATION
7�5� ��G/� ,/fUc� � L/+7, l,�/ � S� �
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SITE PARCEL NUMBER
SUMMARY OF REQUEST
�i9JV/!�G/L S �/Zu I'Gfj� �3C�DS� C—�%/p /vC_:�'
START DATE / END DATE 6 �f� /
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 representatives of the City of Yelm and other governmental agencies to enter upon and inspect
said property as reasonably necessary to process this application.
Signed ��'�� Date l�/ � ��
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