20140214 Permit Pkg 07302014 'f'�o� rH�p,�`�"' City of Yelm Permit ►vo.: 20140214
,
� � Community Development Department Issue Date: 7/30/2014
(Work must be completed within 180 days)
Building Division
Phone: (360)458-8407
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""`s"'"yT°" Fax: (360)458-3144
Applicant:
Name: YELM COMMUNITY SCHOOLS Phone: 360-458-1900
Address: P.O. BOX 476
YELM WA 98597
Property Information:
site Address: 404 YELM AVE W owner:
Assessor Parcel No.: 75300100000 Subdivision: N/A Lot: N/A
Contractor Information:
Name: YELM COMMUNITY SCHOOLS Phone:
Address: ERLING BIRKLAND
P.O. BOX 476
YELM WA 98597
Contractor License No.: Expires: 0/00/0000
Project Information:
Project: OTHER SPECIAL EVENT
Description of Work: HELP WANTED BANNER ON FENCE FACING YELM AVE W. AUGUST 4 THRU 18,2014
Sq. Ft. per floor: First Heat Type(Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item Contractor Fees
SE YELM COMMUNITY SCHOOLS $ 0.00
TOTAL FEES: $ 0.00
Applican Affidavit: OFFICIAL USE ONLY
I certify th t 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 proposed structure is in conformity with all applicable City of #Sets of Prints:
Yelm reg lat� inclu � g those governing zoning and land subdivision,and in addition,all covenants,
easemen and estricti ns of reco d. If pplying as a contractor, I further certify that I am currently Final Inspection:
registere in t State f Washing n.
Signature Date t �U Date:
Firm BY�
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Community Deuelopment Department
R SPECIAL EVENT/TEMPORARY USE
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APPLICATION
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✓ Special Event Sign Permit (�imited to �a days,4 times per calendar year)
TempO�aty Use (property owner permission letter required)
(see REVERSE for regulations)
NAME OF PROJECT �1E'L/' 4JAe(��-C-71 l�,9,t�nJC��
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APPUCANT/BUSINESS NAME �- : - �
Mailing Address /�D , �'c;x �it�, ��� �J.4. ��'���
City, State and Zip__��zrr�, c.�� , �i'b°�;��
Telephone3G�� ��,.���r' EMAIL "i�o�y_c3.�K�p,,�s:�,i�[�s:�3?��JE=-1,E�v
City of Yelm Business License Number r�/�- �
SITE OWNER _���,�=- �� d,���,�
Mailing Address
City, State and Zip
Telephone EMAIL
SITE ADDRESS/LOCATION � 3� �--zrn .9�c�-
SITE PARCEL NUMBER
SUMMARY OF REQUEST .�s;-r��.� /��n u.J,¢,,o��r� i�.�,.✓��.-rz c�n�
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START DATE��?,�,�s r 5���Zc��y END DATE �4,�sr ��f�y
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, ary to process this application.
Signed _ �, - Date�//�y
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� ROUTING: SPECIAL EVENT Building Section
TEMPORARY USE Planning Section Building Section
105 Yelm Auereue West (360)458-3835
Yelm,WA 98597 (360)458-3144 FAX
www.ci.yelm.wa.us