20150181 Permit Pkg 05052015City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:
Name: PUERTA VALLARTA RESTAURANT
Address: 802 YELM AVE WEST
YELM WA 98597
Property Information:
Site Address: Rf17 vm M AVF W
Assessor Parcel No.: 21724140800
Contractor Information:
Name: PUERTA VALLARTA RESTAURANT
Address: LETICIA MEZA
802 YELM AVE WEST
YELM WA 98597
Contractor License No.:
Permit No.: 20150181
Issue Date: 5/05/2015
(Work must be completed within 180 days)
Phone
Owner:
Subdivision: N/A
Phone:
Expires: 0 /00 /0000
Project Information:
Project: OTHER SPECIAL EVENT
Description of Work: CINCO DE MAYO EVENT 4 -28 TO 5 -11 -15
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item
SE
Contractor
PUERTA VALLARTA RESTAURANT
TOTAL FEES:
Applicant' ffidavit:
I cert ify th I have read and examined the information contained within the application and know the same
to be true nd also certify that the proposed structure is in conformity with all applicable City of
Yelm reg at ions inclu ng those governing zonin and land sub ivision, and in addition, all covenants,
easement an restri ions of record. If app lyin a a contractor, I further certify that I am currently
registered in t Sta of Washington.
Signature t
Firm
360- 458 -7710
Lot:
Fees
$ 0.00
$ 0.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
Imo/ SZq
YELM
WASHINGTON
MAY 0 4 2015
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)
A
NAME OF PROJECT 'I GJ afl a
APPLICANT /BUSIN SS NAME
Mailing Address
City, State and Zip YZIC21 w
Telephone Zior c - ! r EMAIL
City of Yelm Business License Number
SITE OWNER B4aCil
Mailing Address
City, State and Zips
Telephone EMAIL ► ! r T:ls�
SITE ADDRESS /LOCATION
SITE PARCEL NUMBER
SUMMARY OF REQUEST 1A _V7
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 �72� bly necessary to process this application.
Signed _Date 'T
u
ROUTING: SPECIAL EVENT Building Section
TEMPORARY USE Planning Section Building Section
105 Yelm Avenue West (360) 458 -3835
PO Box 479 (360) 458 -3144 FAX
Yelm, WA 98597 www.ci.yelm_wa.us