20140276 Permit Pkg 11172014 _
�pF THEp�' City Of Yelm Permit No.: 20140276
� � Community Development Department Issue Date: 11/77/2014
a te (Work must be completed within 180 days)
Building Division
Phone: (360)458-8407
L
'""","�'°" Fax: (360)458-3144
Applicant:
Name: STOMPING GROUNDS ESPRESSO Phone: 360-458-5288
Address: 3720 SAPP ROAD SW
OLYMPIA WA 98512
Property Information:
Site Address: 1008 YELM AVE E Owner:
Assessor Parcel No.: 22730110209 Subdivision: Lot:
Contractor Information:
Name: STOMPING GROUNDS ESPRESSO Phone:
Address: MARIA SOLIS&GARY MORR►SON
3720 SAPP ROAD SW
OLYMPIA WA 98512
Contractor License No.: Expires:
Project Information:
Project: OTHER SPECIAL EVENT
Description of Work: DISPLAY BLUE BLOWN UP MAN AND TWO A BOARD SIGNS FOR SPEICAL
THANKSGIVING HOURS. NOVEMBER 23 THRU 28,2014
Fees:
Item Contractor Fees
SE STOMPING GROUNDS ESPRESSO $ 0.00
TOTAL FEES: $ 0.00
ApplicanY Affida ' � OFFICIAL USE ONLY
I certify tha I e read an examined the information contained within the application and know the same
to be true nd correct. I als certify that the proposed structure is in conformity with all applicable City of #Sets of Prints:
Yelm regul tio including hose governing z � and land subdivision,and in addition,all covenants,
easement an strictio of record. If pp in a a contra , I further certify that I am currently Final Inspection:
registered th t o Wash n o
(' I I Date:
Signature
By:
FiRn
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�,o� T�p�� City o f �'elm
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Community Development Department
SPECIAL EVENT/TEMPORA.R Y USE
APPLICATION
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WASMIMGTON
�� Special Event Sign Permit (�imited to �4 days, 4 times per calendar yearj
Temporary Use (properly owner permission letter required)
(see REVERSE for regulations)
.�
NAME OF PROJECT �E' ' � , � �' '? �r`�
�
APPUCANT/BUSINESS NAME ��
Mailing Address 31 D `� �
City, State and Zip i G�- ��
Telephone U:G - �5 - � EMAIL � i , ,`' " "�j(�, j(Y�(j,� � ..('�;y>
City of Yelm Business License Number i -- fJ
S/TE OWNER ' 0�.1
Mailing Address ' � S�
City, State and Zip �..�� t.c�1� �"� �51 �
Telephone ' �� EMAIL
SITE ADDRESS/LOCATION i L � � ' � 1� �
SITE PARCEL NUMBER
SUMMARY OF REQUEST � c� '� -:� �. � O ' � ' �
2 ,� ;, _��r �� � �G v�t
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,
START DATE�� _END DATE
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 necessary to process this application.
Signed l..�l v����f� ���.1�� ) Date ��`��1 1 IVJ�� '������
� ROUTING: SPECIAL EVENT Building Section
TEMPORARY USE �Planning Section Building Section
105 Yelm Auenue West (360)458-3835
Yelm, WA 98597 (360)458-3144 FAX
www.ci.yelm.wa.us