20150129 Permit Pkg 02272015City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:
Name: A NOVEL BOOK STORE
Address: 412 REFLECTION LANE
RAINIER WA 98576
Property Information:
Site Address: �nr% FIRST ST S
Assessor Parcel No.: 64420200100
Contractor Information:
Name: A NOVEL BOOK STORE
Address:
412 REFLECTION LANE
RAINIER WA 98576
Contractor License No.:
Permit No.: 20150129
Issue Date: 2/27/2015
(Work must be completed within 180 days)
Phone: 360- 458 -4722
Owner:
Subdivision: Lot:
Phone:
Expires:
Project Information:
Project: OTHER SPECIAL EVENT
Description of Work. BOOK SALE FEB 28 THRU MARCH 14, 2015
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item
SE
Contractor
A NOVEL BOOK STORE
TOTAL FEES:
Applica 's Affidavit:
I certify hat I have read and examined the information contained within the application and know the same
to be t e and correct. I also certify that the proposed structure is in conformity with all applicable City of
Yelm r gulatio
ipl
cluding those governing zoning and land subdivision, and in addition, all covenants,
ease nts aid rest tions of record. If applying as a contractor, I further certify that I am currently
reoiste ed inithe Stati6 of Washindton.
Firm
Fees
$ 0.00
$ 0.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
A I
V�
L
WASHINGTON
X15-31,6 9-9
City of Yelm
Community Development Department
SPECIAL EVENT I TEMPORARY USE
APPLICATION
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 ( V
APPLICANT /BUSINESS NAME �
Mailing Address
City, State and Zip
Telephone EMAIL C- k--
City of Yelm Business License Number
SITE OWNER
Mailing Address
City, State and Zip
Telephone EMAIL
SITE ADDRESS /LOCATION 3oS 't-rrrb f- S`""• S
SITE PARCEL NUMBER
SUMMARY OF REQUEST
START DATE END DATE 31tq 1 31t t S
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 own to act with respect to this application. Further, I grant permission from the owner to any and all
employes an sentatives of the City of Yelm and other governmental agencies to enter upon and inspect
said pr e bl ssa to process this application.
Signed
Date o i
ROUTING: SPECIAL EVENT Building Section
TEMPORARY USE Planning Section Building Section
105 Yelm Avenue West
Yelm, WA 98597
(360) 458 -3835
(360) 458 -3144 FAX
www.ci.yelm.wa.us