20150150 Permit Pkg 04032015City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Permit No.: 20150150
Issue Date: 4/03/2015
(Work must be completed within 180 days)
Applicant:
Name: PIZZERIA LAGITANA Phone: 360- 894 -0640
Address: 309 YELM AVE E
YELM WA 98597
Property Information:
Site Address: 309 YELM AVE E Owner:
Assessor Parcel No.: 22719341901 Subdivision:
Contractor Information:
Name: PIZZERIA LAGITANA Phone:
Address:
309 YELM AVE E
YELM WA 98597
Contractor License No.: Expires: 0 /00 /0000
Project Information:
Project: OTHER SPECIAL EVENT
Description of Work: NOW DOING PASTA. APRIL 8 THRU 21, 2015
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item
SE
Contractor
PIZZERIA LAGITANA
Applicant's Affidavit:
I ce that I have read and examined the information contained within the application and know the same
to b true and correct. I also certify that the proposed structure is in conformity with all applicable City of
Yel regulations including those governing zoning and land subdivision, and in addition, all covenants,
ea ments and restrictions of record. If applying as a contractor, I further certify that I am currently
reg tere the to of Washington.
Sig ature Date 5
Lot:
Fees
$ 0.00
$ 0.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
Karen Bennett
From: Lumi L [802013u @g mail. com]
Sent: Sunday, April 05, 2015 10:42 AM
To: Karen Bennett
Subject: Re: City of Yelm Special Event Permit La Gitana
Hi Karen,
Our banner will not be ready until Wednesday. Can we change the permit from April 8th to April 21 st?
T
hank you
Lumi
On Fri, Apr 3, 2015 at 4:52 PM, Karen Bennett <KarenBkci.yelm.wa.us> wrote:
Have a great event!!!
Karen T. Bennett
City of Yelm
1o5 Yelm Ave W
Yelm, WA 98597
• � _ : : __,
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L
WASHINGTON
City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Permit No.: 20150150
Issue Date: 4/03/2015
(Work must be completed within 180 days)
Applicant:
Name: PIZZERIA LAGITANA Phone: 360- 894 -0640
Address: 309 YELM AVE E
YELM WA 98597
Property Information:
Site Address: 309 YELM AVE E
Owner:
Assessor Parcel No.: 22719341901
Subdivision:
Contractor Information:
Name: PIZZERIA LAGITANA
Phone:
Address:
309 YELM AVE E
YELM WA 98597
Contractor License No.:
Expires: 0 /00 /0000
Project Information:
Project: OTHER SPECIAL EVENT
Description of Work: NOW DOING PASTA.
APRIL 6 THRU 19, 2015
Sq. Ft. per floor:
Heat Type (Electric, Gas, Other):
First
Second
Third
Garage
Basement
Fees:
Item
SE
Contractor
PIZZERIA LAGITANA
TOTAL FEES:
Applica 's Affidavit:
I certify t at I have read and examined the information contained within the application and know the same
to be true andsaLLectl also certify that the proposed structure is in conformity with all applicable City of
Yelm re ulat ns inclu ng those governing zoning and land subdivision, and in addition, all covenants,
easeme is d restri ons of record If ap ying as a contractor, I further certify that I am currently
registered i ��he Sta of Washing�o�
Signatu - Date
Firm
Lot:
Fees
$ 0.00
$ 0.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
k+bf TiiF A
L
WASNIM6T0N
205o 150
0
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 AJb cu do r (? ! � ?A,57-.A-
\J
APPLICANTIBUSINESS NAME l l 1 i` l�- (LC
Mailing Address
City, State and Zip m
Telephone 3C-c) o X 33. EMAIL ';IC/ ma , , co
City of Yelm Business License Number
SITE OWNER
Mailing Address
City, State and Zip
Telephone EMAIL
SITE ADDRESS /LOCATION
SITE PARCEL NUMBER
SUMMARY OF REQUEST
START DATE S END DATE t T l 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 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 1 Date
ROUTING: SPECIAL EVENT Building Section
TEMPORARY USE Planning Section Building Section
105 Yelm Avenue West (360) 458 -3835
Yelm, WA 98591 (360) 458 -3144 FAX
www.ci.yelm.wa.us