20140257 Permit Pkg 10082014 ��p�THEp�� City of Yelm Permit No.: 20140257
9
� �� Community Development Department Issue Date: 70/OS/2014
6 t� (Work must be completed within 180 days)
Building Division
Phone: (360)458-8407
ELM
"".�","°'°" 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: HALLELUJAH PARTY BANNER, OCTOBER 18 THRU 31, 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
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 proposed structure is in conformity with all applicable City of #Sets of Prints:
Yelm regulations including those governing zoning and land subdivision,and in addition, all covenants,
easements and restrictions of record. If applying as a contractor, I further certify that I am currently Final Inspection:
registered in the ate of Washington.
� Date:
Signature V' ' Date �b �/
Firm ,�jS,d�" �lc-N�C�.- !'� By:
. �o��lo��
a�,�� "���.� City of �'elm
� �
Community Development Department
SPECIAL EVENT/TEMPORAR Y USE
A.PPLICATION
LM
WASMINGTON
Special Event Sign Permit (�imited to �4 days,4 times per calendar year)
Temporary Use (property owner permission letter required)
(see REVERSE for regulations)
NAME OF PROJECT ��L� � L �'�- �� � l��lz T /��i�l NE2
APPLICANT/BUS/NESS NAME �� �Sl' �' �'s?` C u� �
MailingAddress Go3 �a 3� d /-�-UE S� - ,�o �oX s-��ia
City, State and Zip L W /�- g�S 7
TelephoneL�d S&- s�6 7 EMAIL
City of Yelm Business License Number
SITE OWNER �2s 7- �A y`1 s7` � � � �
Mailing Address • ° � °1� s�y'd
City, State and Zi � Gu �f- �sS'7
Telephone L��� .s�'r-s��7 EMAIL
SITE ADDRESS/LOCATION
G o 3 �D 32 d f�-✓� C- �G L i`1
SITE PARCEL NUMSER aa 7 3ai �� / a x- '
SUMMARY OF REQUEST �
.�C `�-�.ti,.�.,ct
START DATE /Q / END DATE �a ?� �
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 s reasonably necessary to process this application.
Signed � ����� Date ��/ ���
ROUTING: SPECIAL EVENT Building Section
TEMPORARY USE Planning Section Building Section
105 Yelm Auenue West (360) 458-3835
Yelm, WA 9859� (360)458-3144 FAX
www.ci.yelm.wa.us