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20150101 Permit Pkg 01092015Applicant: City of Yelm Community Development Department Building Division Phone: (360) 458 -8407 Fax: (360) 458 -3144 Permit No.: 20150101 Issue Date: 1/09/2015 (Work must be completed within 180 days) Name: LIBERTY TAX SERVICE Phone: 400 -1401 Address: PO BOX 2890 YELM WA 98597 Property Information: Site Address: 715 YELM AVE E 3 Owner: Assessor Parcel No.: 99002045441 Subdivision. Lot: Contractor Information: Name: LIBERTY TAX SERVICE Phone: Address: PO BOX 2890 YELM WA 98597 Contractor License No.: Expires: 0 /00 /0000 Project Information: Project: OTHER SPECIAL EVENT Description of Work: JAN 7 THRU JAN 21, JAN 28 THRU FEB 11, FEB 25 THRU MAR 11, APRIL 1 THRU APRIL 15, 2015. USING ALL SE FOR THE YEAR Sq. Ft. per floor: First Heat Type (Electric, Gas, Other): Second Third Garage Basement Fees: Item SE Contractor LIBERTY TAX SERVICE TOTAL FEES: Applicant's Affidavit: I certify t at I have read and examined the information contained within the application and know the same to be tru and corr . certify that the proposed structure is in conformity with all applicable City of Yelm r�rdl lati ncluding t ose governing zo ing and land subdivision, and in addition, all covenants, easem is a restriction of record. If apply, as a contractor, I f er certify that I am currently registe in t State o ashinoton . I � .. 1 Sign Firm Fees $ 0.00 $ 0.00 OFFICIAL USE ONLY # Sets of Prints: Final Inspection: Date: By: JAN -08 -2015 04:33 From: To:3604583144 Pa9e:2,2 City of Yelm Community .Development Department SPECIAL EVENT I TEMPORARY USE APPLICATION it Special Event Sign Permit (limited to 14 days, 4 times per calendar year) Temporary Use (property owner permission letter required) (see REVERSE for regulations) NAME OF PROJECT APPLICANTIBUSINESS NAME Mailing Address 2/5 City, State and Zip M k/6-775-72 Telephone o _�, d— o A L L- ,t3 'I. eat City of Yelm Business License Number 1t2 2 SITE GINNER , Mailing Address City, State and Zip Telephone EMAIL SITE ADDRESS/LOCATION SITE PARCEL NUMBER SUMMARY OF REQUEST START DATE 1 -3 - =2 END DATE / 1 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 p s -reaso ly necessary to process this application. ] ` Signed - Date I J ROUTING: SPECIAL EVENT - Building Section TEMPORARY USE Planning Section Building Section 106 Yelm Avanua West (860) 418 -8886 'FO Buz 479 (990) 4683144 FAX Yelm, WA 98597 urwru.ci,yelm.Wo.us JAN -08 -2015 04:33 From: To:3604583144 Page•1 ,'2 LIBERTY TAX SERVICE' Company Na.rnc, l,ibcrty'I'ax Sc vlcc Mwinig address: 715.E. Yelm live Yelm, WA 98597 Phone: (360) 400 -1401 Fax:: (3G0) 400 -1403 r, Subject: Q.0 le�..,Q �',)e -A4 5(q� Fe l l 4 FACSIMILE TRANSMITTAL SHEET TO: ' IQ 1 FROM; Lli3a+�Y -FAY 364ul� FAX NUMBER: 3 W - Ll 5'' , 3 J q 44 DA'T'E,: I — —] — J () 1 COMPANY: PJ-IONE: NUMBER: RR: TOTAL. NO. OF PAGES: SENL�.i_ >R'S REFERENCE NUMBER; YOLJIt WE-FERENCE NUMBER: ❑ i1RQN:N "1' ❑ I-OR RE'Vmw ❑ I'LL?ASL COMMENT ❑ P1,P.ASL; lkLPLY NO I P_ti /rt)A4MIiN'1'S: