20150169 Permit Pkg 04232015Applicant:
City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458-3144
Permit No.: 20150169
Issue Date: 4/23/2015
(Work must be completed within 180 days)
Name: YELM BOOT CAMP Phone: 360 - 970 -5481
Address: 106 PRAIRIE PARK LN #118
YELM WA 98597
Property Information:
Site Address: 106 PRAIRIE PARK LN 118 Owner:
Assessor Parcel No.: 64303700300 Subdivision: Lot:
Contractor Information:
Name: YELM BOOT CAMP Phone:
Address: AMY
106 PRAIRIE PARK LN #118
YELM WA 98597
Contractor License No.: Expires: 0 /00 /0000
Project Information:
Project: OTHER SPECIAL EVENT
Description of Work: GRAND OPENING SIGNAGE. APRIL 21 THRU MAY 5, 2015. SPECIAL EVENT SIGNAGE
MAY 6 THRU MAY 19, 2015.
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item Contractor Fees
SE YELM BOOT CAMP $ 0.00
TOTAL FEES: $ 0.00
Applica 's Affidavit:
I cert ify at I have read and examined the information contained within the application and know the same
to be tr a ct. I also certify that the proposed structure is in conformity with all applicable City of
Yelm re ular s in uding those governing zoning and land subdivision, and in addition, all covenants,
easeme is res fictions of record. If appl�{ing as a ntractor further certify that I m currently
register d i S of Was. to- ) If r 04 %� ,-I
Firm
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
2b (5 c� 1 �9
City of Yelm
Community Development Department
SPECIAL EVENT I TEMPORARY USE
APPLICATION
Y L
WAiNINOTON T'
Special Event Sign Permit (limited to 14 days, 4 times per calendar year)
Temporary Use (property owner permission letter required) ,APR 20 2015
(see REVERSE for regulations)
NAME OF PROJECT (- 2ANQ y Pt P 1A) 6
APPLICANT /BUSINESS NAME C(, P^
Mailing Address E. D . D'X /D
r: /JA
City, State and Zip
Telephone 31,o L 570 3E--7-7 EMAIL
City of Yelm Business License Number
SITE OWNER
Mailing Address o (�3 x Co3
City, State and Zip ___ ,v ( JdS91
Telephone con Zoo '3S77 EMAIL
SITE ADDRESS /LOCATION l o, �� r i 2
SITE PARCEL NUMBER
SUMMARY OF REQUEST
START DATE ? END DATE 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 prope reasonably necessary to process this application.
Sign Date D
ROUTING: SPECIAL EVENT Building Section
TEMPORARY USE Planning Section Building Section
105 Yelm Avenue West (360) 458 -3835
Yelm, WA 98597 (360) 458 -3144 FAX
www.ci.yelm.wa.us