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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;"�'-