20140273 Permit Pkg 11072014 �OF �HEA� City Of Yelm Permit No.: 20140273
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� � Community Development Department Issue Date: 11/07/2014
(Work must be completed within 180 days)
Building Division
Phone: (360)458-8407
Y L
"".�`"'""°" Fax: (360)458-3144
Applicant:
Name: GELLER AUTO SALES INC. Phone: 253-241-9725
Address: 43210 22ND AVE E
EATONVILLE WA 98328
Property Information:
Site Address: 1405 YELM AVE E Owner:
Assessor Parcel No.: 22730140400 Subdivision: Lot:
Contractor Information:
Name: GELLER AUTO SALES INC. Phone:
Address:
43210 22ND AVE E
EATONVILLE WA 98328
Contractor License No.: Expires: 0/00/0000
Project Information:
Project: OTHER SPECIAL EVENT
Description of Work: NOVEMBER 10 THRU 24, 2014
Sq. Ft. per floor: First Heat Type(Electric,Gas, Other):
Second
Third
Garage
Basement
Fees:
Item Contractor Fees
SE GELLER AUTO SALES INC. $ 0.00
TOTAL FEES: $ 0.00
ApplicanYs idavit: OFFICIAL USE ONLY
I certify that I av read and examined the information contained within the application and know the same
to be true an c rr c. a so rtify that the proposed structure is in conformity with all applicable City of #Sets of Prints:
Yelm regula io i luding th e governing zory�ng and land subdivision,and in addition, all covenants,
easements�n res ri ions r cord. If app ing as a c tractor, I further certify that I am currently Final Inspection:
registered i�h th St t o Wa to
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, � �, �i �
Signature ' Date ' Date:
Firm BY�
Nov 05 14 05:09p p.�
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� � C`om.rnunity DeveZopment De�urtment
SPECIAL EV�1VT/TE�lfP4RAR Y USE
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YELM
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� Speciai Event Sign Permit {�imited to�4 days,4 times per calendar year)
Temporary Use (�roperty owner permission lei#er required}
(see REVERSE for regulations)
NAME OF Pl4QJECT_ `�'►� f','�� � �d'pN�� �l
APPLlCANT/BUS/NESS NAME �!(Fr� _`'x; " �,
Maiiing Address �a'�«"� --��.=� -�E �
City, State and Zip ��-�;�,�� j �3 "?�
Telephone �""a� - � ElU1AlL � n �?� �. c��+�1
City of Velm Business License Nurnber
SITE OWNER �' ,
Maiii�g Address
City, State d Z'
TelePhone �'�� `�-�1��'�'° E�111P►IL
SITE ADDR SSlLOCATION �r� ' • ,�`
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SITE PARCEL NUMBER
SUNfMARY OF REQUEST , y •-�- �t • ✓ .,�• �
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START DATE__ t l�- �L� - pT_ END DATE 1 f-'-Z�j -/"�,
!affirm ihat alf answers, statements and inforrnatio�above and submitted with ihis applicatian are complete and
acczrate ta the best of r�y knowledge. I aiso affirm that I am the owner of the subject site or am duly aufhorized by
the owner to act with respect to this application_ Further, {grant permission irom the ows�er to any and all
empfoyees and represer7tatives af the City of Yelrri and other governmental agenCies to e�#er upon and inspect
said proper�y as reasonably necessary to pr e s this application.
Signed Date_ J �—' `� '�f l'/
ROUTtNG: SPEGIA�.EVENT Building Section
TEMPORARY€JSE Planning Section Buitdirtg Section
Y05 Yelm Az�enece West
Yelrn, WA 98597 (36tJ)458-35:�5
(360)45&31��FAX
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