20140296 Permit Pkg 12172014 ",��,o� T"�p,�`�' City of Yelm Permit No.: 20140296
7
� � Community Development Department Issue Date: 12/17/2014
(Work must be completed within 180 days)
Building Division
Phone: (360)458-8407
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'"`�°" Fax: (360)458-3144
Applicant:
Name: STOMPING GROUNDS ESPRESSO Phone: 360-458-5288
Address: 1008 YELM HWY E
YELM WA 98597
Property Information:
Site,4ddress: 1008 YELM AVE E owner:
Assessor Parcel No.: 22730110209 Subdivision: Lot:
Contractor Information:
Name: STOMPING GROUNDS ESPRESSO Phone:
Address:
1008 YELM HWY E
YELM WA 98597
Contractor License No.: Expires: 0/00/0000
Project Information:
Project: OTHER SPECIAL EVENT
Description of Work: OPEN CHRISTMAS DAY SIGNAGE DEC 15 THRU DEC 25, 3014
Sq. Ft. per floor: First Heat Type(Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item Contractor Fees
SE STOMPING GROUNDS ESPRESSO $ 0.00
TOTAL FEES: $ 0.00
Applica Ys Affidavit: OFFICIAL USE ONLY
I certify at I have read and examined the information contained within the application and know the same
to be tru and correct. I also certify that the proposed structure is in conformity with all applicable City of #Sets of Prints:
Yelm re ulations� uding ose governing zoning and land subdivision, and in addition,all covenants,
easeme ts an estrictions f record. If applyin as a contra o , I furth r certify that I am currently Final Inspection:
registere in t e State of shingt .
Signature "� te Date:
Firm By�
������i�°Z���
aw�� "�ps.� City o f �'elm
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Community Deuelopment Department
SPECIAL EVENT/TEMPORAR Y USE
APPLICATION
Y L
WAiMINCTON
� Special Event Sign Permit (�imited to�a days,4 times per calendar year)
Temporary Use (property owner permission letter required)
(see REVERSE for regulations)
NAME OF PROJECT ' ��, .������1 ',��1� �S�C 4�CU�j C��Clit,/4
APPLICANT/BUS/NESS NAME.` �` . `� � � ' , � \''
Mailing Address ''��; �.;:���"" '��,'
City, State and Zip � � �� �1
Telephone ��%`� �_ � EMAIL �� � �' � �(; ���M�
City of Yelm Business License Number ' > y r;C? ' � � ���
S/TE OWNER
Mailing Address �I � ' �, S�vJ
City, State and Zip � � � Z�
Telephone U -`7 - �. EMAIL � �i C �� U - `(� 0�����i�
SITE ADDRESS/LOCATION � — �' � z (t��
�' � �- _'1
SITE PARCEL NUMBER
SUMMARY OF REQUEST i.�' - � ` � i ' ' ' ��
� � ��
.
START DATE C�PG 1� �2t71'�-� END DATE r '
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 as reasonably�e�ce�sary to process this application.
'�I,, ?� Q� !��-� i j,
Signed ( 1U 1 � ��',�, Date .` ���Q��[���� O �o`V�`�
T,. ��
ROUTING: SPECIAL EVENT Building Section
TEMPORARY USE Planning Section Building Se�i��i .� � 2 �4
105 Yelm Auenue West (360) 4�$-�835 __________
Yelm, WA 98597 (360) ���i���.�-"
www.ci.yelm.wa.us