20140200 Permit Pkg 07082014 �o� tH�o,� City of Yelm Permit ►vo.: 20140200
,
� � Community Development Department Issue Date: 7/08/2014
(Work must be completed within 180 days)
Building Division
Phone: (360)458-8407
L
".'",""°" Fax: (360)458-3144
Applicant:
Name: FIRST BAPTIST CHURCH Phone:
Address: P.O. BOX 5090
YELM WA 98597
Property Information:
site Address: 602 103RD AVE SE owner:
Assessor Parcel No.: 22730110102 Subdivision: N/A Lot: N/A
Contractor Information:
Name: FIRST BAPTIST CHURCH Phone:
Address:
P.O. BOX 5090
YELM WA 98597
Contractor License No.: Expires: 0/00/0000
Project Information:
Project: OTHER SPECIAL EVENT
Description of Work: VACATION BIBLE SCHOOL JULY 26TH THRU AUGUST 9TH, 2014
Sq. Ft. per floor: First Heat Type(Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item Contractor Fees
SE FIRST BAPTIST CHURCH $ 0.00
TOTAL FEES: $ 0.00
ApplicanY Affidavit: OFFICIAL USE ONLY
I certify th I have read and examined the information contained within the application and know the same
to be true nd c . ertify that the proposed structure is in conformity with all applicable City of #Sets of Prints:
Yelm reg latio including tho governing zoning and land subdivision,and in addition,all covenants,
easement an estrictions of cord. If appl ing s a contractor, I further certify that I am currently Final Inspection:
registered in t S ate of Wa ington.
Signature . Date � Date:
Firm ' By'
Z�/�D ��
��Q� THFA��� City of Yelm
� �
Community Deuelopment Department
SPECIAL EVENT/TEMPORARY USE
APPLICATION
EL
wwsN�wcrnti
�Special Event Sign Permit (�imited to �a days,4 times per calendar year)
TempOt'ary Use (property owner permission letter required)
(see REVERSE for regulations)
� / / � /
NAME OF PROJECT (/Q c�('ccu � �' Sc-6�
APPUCANT/BUSINE S NAME � - x> �
Mailing Address �, f�- �C'r �
City, State and Zip v� -� G
Telephone `� ('i— � �- � EMAIL l� � �/ � cy� �
City of Yelm Business License Number
c��< <� � �� /�-��- 3��-- �� � 3 cv�r � •Gc�� t C�1-�
SITE OWNER ; s � ��
Mailing Address — S/,�i'!2�' —
City, State and Zip
Telephone EMAIL
SI TE ADDRESS/LOCATION � '. �i�'r�c � t'.� �,.,
SITE PARCEL NUMBER
SUMMARY OF REQ�lJEST �S'��r � : �.
� 'l�'.�r� r�
START DATE ` END DATE
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 Ci y o elm and other governmental agencies to enter upon and inspect
said property as onably cessa o ocess this application.
Signed Date � V � /
r--
� �_.
ROUTING: SPECIAL EVENT Building Section ;
TEMPORARY USE Planning Section ��71d�g Sectian �
105 Yelm Auenue West ►��6Qf 458-3835
Yelm,WA 98597 360j��3B-3744�'AX -°'
www.ci.yelm.wa.us