20140195 Permit Pkg 06242014 \�\
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�o�tHEO,� City of Yelm
Permit ►vo.: 20140195
:�� ��, Community Development Department Issue Date: 612412014
� � (Work must be completed within 180 days)
Building Division
Phone: (360)458-8407
E L�,..�.....
Fax: (360)458-3144
Applicant:
Name: TACO GABY Phone: 360-458-2342
Address: 14345 WALTON LAND SE
YELM WA 98597
Property Information:
Site Address:
307 YELM AVE E owner:
Assessor Parcel No.: 22719341200 Subdivision:
Lot:
Contractor Information:
Name: TACO GABY Phone:
Address: NAVCISO MENDEZ
14345 WALTON LAND SE
YELM WA 98597
Contractor License No.: Expires: 0/00/0000
Project Information:
Project: OTHER SPECIAL EVENT
Description of Work: BEER GARDEN IN PARKING LOT WITH DANCING HORSES AND LIVE BAND JUNE 26,2014
Sq. Ft. per floor: Heat Type(Electric,Gas, Other):
First
Second
Third
Garage
Basement
Fees: Fees
Item Contractor $ o.00
SE TACO GABY
TOTAL FEES: $ 0.00
ApplicanYs Affidavit: OFFICIAL USE ONLY
I certify that I have read and examined the information contained within the application and know the same
to be true and correct. I also certify that the pr sed structure is in conformity with all applicable City of #Sets of Prints:
Yelm regulations including those governin ning and land subdivision,and in addition,all covenants,
easements an restrictions of rec rd. If lyin a co tractor,I further certify that I am currently Final Inspection:
registered in t State of Washi n _.
Date:
Date
Signature By.
/
Firm
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Zc�l�{0 I�l s
�`,�� rtH��� City of Yelm
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Community Deuelopment Department
SPECIAL EVENT/TEMPORARY USE
APPLICATION
�.M
WASMINGTON
Special Event Sign Permit (�imited to �a days,4 times per calendar year)
TempOPaly Use (property owner permission letter required)
(see REVERSE for regulations)
. �
NAME OF PROJECT �����-Q � e
APPLICANT/BUSINESS NAME 1
Mailing Address 1�-��S�S �il��'�'^'^ � '" s
City, State and Zip � EMAIL
Telephone
City of Yelm Business License Number
�
SITE OWNER ✓'G A �� �
Mailing Addres� I 43�I < ��
City, State and Zip 1 w�.
Telephone — EMAIL
SITE ADDRESS/LOCATION '�0`7 �1 e--�'�t� l�'�J�2 �
SITE PARCEL NUMBER
S MMARY OF REQUEST �5ee+r' L w�
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Gt. �
START DATE '—v � 2 EN
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 o affirm that I am the owner of the subject site or am duly authorized by
the owner to act with respect to this ication. Further, I grant permission from the owner to any and all
employees and representat�ves e City of Yelm and other governmental agencies to enter upon and inspect
said prope so y ssa c ss this application.
Signed ` Date � �� (
ROUTING: SPECIAL EVENT Buitding Section
TEMPORARY USE Planning Section Building Section
(360)458-3835
105 Yelm Auen ue West (360)458-3144 FAX
Yelm,WA 98597 www.ci.yelm.wa.us