20150180 Permit Pkg 05042015City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:
Name: A NOVEL BOOK STORE
Address: 412 REFLECTIONS LANE
RAINIER WA 98576
Property Information:
Site Address: 305 FIRST ST S
Assessor Parcel No.: 64420200100
Contractor Information:
Name: A NOVEL BOOK STORE
Address: ROBERT MADDOX
412 REFLECTIONS LANE
RAINIER WA 98576
Contractor License No.:
Project Information:
Project: OTHER SPECIAL EVENT
Description of Work:
SPRING BOOK SALE
Sq. Ft. per floor:
First
Second
Third
Garage
Basement
Fees:
Item
SE
Permit No.: 20150180
Issue Date: 5/04/2015
(Work must be completed within 180 days)
Phone: 360- 458 -4722
Owner:
Subdivision: Lot:
Phone:
Expires: 0 /00 /0000
Heat Type (Electric, Gas, Other):
Contractor
A NOVEL BOOK STORE
TOTAL FEES:
Applicant's Affidavit:
I certify that I have read and examined the information contained within the application and know the same
to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of
Yelm regulations including those governing zoning and land subdivision, and in addition, all covenants,
easements and restrictions of record. If applying as a contractor, I further certify that I am currently
registered in the State of Washington.
Signature Date
Firm
Fees
$ 0.00
$ 0.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By: