20140292 Permit Pkg 12022014 '��oF THEO,A City Of Yelm Permit No.: 20140292
,
� �� Community Development Department Issue Date: 12/02/2014
(Work must be completed within 180 days)
Building Division
Phone: (360)458-8407
L
F"'""°" Fax: (360)458-3144
Applicant:
Name: WILLOW SPA& NAIL CLINIC Phone: 360-458-1491
Address: 311 MCKENZIE AVE SE
YELM WA 98597
Property Information:
site Address: 311 MCKENZIE AVE SE owner:
Assessor Parcel No.: 64420700400 Subdivision: Lot:
Contractor Information:
Name: WILLOW SPA& NAIL CLINIC Phone:
Address:
311 MCKENZIE AVE SE
YELM WA 98597
Contractor License No.: Expires: 0/00/0000
Project Information:
Project: OTHER SPECIAL EVENT
Description of Work: JINGLE BELLS DEC 9 THRU 23, 2014
Sq. Ft. per floor: First Heat Type(Electric,Gas, Other):
Second
Third
Garage
Basement
Fees:
Item Contractor Fees
SE WILLOW SPA&NAIL CLINIC $ 0.00
TOTAL FEES: $ 0.00
Applic t's Affidavit: OFFICIAL USE ONLY
I certify that d and examined the information contained within the application and know the same
to be tr e an correct. also certify that the proposed structure is in conformity with all applicable City of #Sets of Prints:
Yelm r gul io s incl ding those erning zoning and land subdivision,and in addition,all covenants,
easem nts n res ictions of rec rd. If applying as a contrador, I further certify that I am currently Final Inspection:
registe ed i t of Wash� ton.
Signat e � Date
a, Date:
Firm By�
� _ .
---- — _ _ _, _
- � � � 0 2�(�---
�
/f F��
� City of Yelm
�O p
��
" �� Community Development Department
SPECIAL EVENT/TEMPO.RARY USE
YELM ��'LICATION
W4StiiN[STON
V(� Special Event Sign Permit pimlted to 14 days,4 times per calendar year}
Tempordry Use (property owner permission letter required)
(see REVERSE for regula�onsj
NAME OF PROJECT � \ �1
APPUCANT/BUSINESS NAME (�
Mailing Address �
Cit�r, State a d Zip
Tetephone �' EMAIL ` c� ,t1�
City of Yelm Business License Number i�G l`7
SITE OWNER ' c�(1
Mailing Address �
Ciiy, State and Zip �
Telephone � 5 EMAIL
S1TE ADD ESS/LOCA�O
�y
StTE PARCEL NUMBER
SUMMARY OF REQUEST � '
iY1 e,, ^e ---
�tl t � = z
START DATE ��.- "t. -- 1 END DATE 1 a" �.3- � `-1
I affirtn that a8 ar�ers,sta6ements and information abave and submitbed with this apptication are c�mplete and
accurate to the best of my knowledge. 1 also affirm that I am the owner of the subject site or am duly authorized by
the owner to act with respe�t to this a�pplication. Furtlier,1 grar�t permission from the owner to any and all
emptoyee.s and repr+eserrtatives of the City of YeUn and other�vemmental agencies to errter upon anti insped
said prope as reasonably necessary to prooess this applir.ation.
Signed pate�(�- --
ROUTING SPECtAL EVENT Building Sec4ion
TEMPORARY USE Planning Section Builcfing Section
105 Yelm Aveaut West (860)458-3835 ���
FO Box 479 (a60)45&3'Y44 FAX
Yelrn,WA 9859� wmm.ci.yeT�n.wlkp6 �Q��}
;s;"�'-