20150203 Permit Pkg 05272015Applicant:
City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Permit No.: 20150203
Issue Date: 5/27/2015
(Work must be completed within 180 days)
Name: CROWE LAW OFFICE
Phone: 360- 960 -8366
Address: 715 YELM AVE E #1
YELM WA 98597
Property Information:
Site Address: 302 YELM AVE E
Owner:
Assessor Parcel No.:
Subdivision: Lot:
Contractor Information:
Name: CROWE LAW OFFICE
Phone:
Address:
715 YELM AVE E #1
YELM WA 98597
Contractor License No.:
Expires: 0 /00 /0000
Project Information:
Project: OTHER SPECIAL EVENT
Description of Work: OPEN BLDG TO PUBLIC
DURING PRAIRIE DAYS PARADE. SERVING FREE LEMONADE.
BANNER AND BUNTING.
JUNE 25 THRU JULY 9, 2015
Fees:
Item
SE
Applican s
I certify th t
to be tr
Yelm reg la
easements
registered in
Signature
Firm
Contractor
CROWE LAW OFFICE
TOTAL FEES:
Affidavit:
hav read acrd- examined the information contained within the application and know the same
correct. I also certify that the proposed structure is in conformity with all applicable City of
lions including tho a governing zoning and land subdivision, and in addition, all covenants,
a restrictions record. If applying as a contractor, I further certify that I am currently
t o ashington.
0 H (— Late
Fees
$ 0.00
$ 0.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
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WASNINOTON
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City of Yelm
Community Development Department
SPECIAL EVENT/ 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 PNI- Ql y It STS
APPLICANT /BUSINESS NAME
Mailing Address
City, State and Zip \! o I t W A G XSC-i
Telephone i ',l, 6 EMAIL It, 0 uptoe, la t-1
City of Yelm Business License Number
SITE OWNER :ic-=
Mailing Address ],/� � ,� 4, F 4
City, State and Zip 4. c 9; q
Telephone zi , ��. ^s�;� >l, EMAIL
SITE ADDRESS /LOCATION
SITE PARCEL NUMBER
SUMMARY OF REQUEST I {-
C6I to t�l.utnuli����
�G t 4/ Le {� A it; � 1 —Q e- � 1.1 44- "I—�g �Je� � u 1A i% Ince .
START DATE - END DATE { /�ll�
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 Date _
ROUTING: SPECIAL EVENT Building Section MAY 21 1
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
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