20150232 Permit Pkg 06252015Applicant:
City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Permit No.: 20150232
Issue Date: 6125/2015
(Work must be completed within 180 days)
Name: TACO GABY
Phone: 360- 458 -2342
Address: 14345 WALTON LN SE
YELM WA 98597
Property Information:
Site Address: 307 YELM AVE E
Owner:
Assessor Parcel No.: 22719341200 Subdivision:
Lot:
Contractor Information:
Name: TACO GABY
Phone:
Address:
14345 WALTON LN SE
YELM WA 98597
Contractor License No.: Expires:
0 /00 /0000
Project Information:
Project: OTHER SPECIAL EVENT
Description of Work: BEER GARDENS WITH DANCING HORSES, MARICHI BANKD AND CONCESSIONS. JUNE
25, 2015
Sq. Ft. per floor: First
Second
Third
Garage
Basement
Fees:
Item
SE
Heat Type (Electric, Gas, Other):
Contractor Fees
TACO GABY $ 0.00
TOTAL FEES: $ 0.00
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 re9lulations including those governing zoning and land subdivision, and in addition, all covenants,
easeme is d ctions of record. If applying as a contractor, I further certify that I am currently
register d i t o to of Washi o
Signatur Date
Firm I i. -e c -. —7 �1\nQ
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
adl 5 o MA
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 LAJ)
APPLICANT /BUSINESS NAME —tt C `S
Mailing Address (?UV fit? c1 S-E sOc 3 c f lrn 'V
City, State and Zip le I w, VVA qiS ` f
Telephone 3 C) <%c-3 2.3,4Z- EMAIL nde� 0 , wl,- 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 , g and ei u' t i c ti5
an mcwlachl Ll)an'd' t Co cf5 Yl
START DATE 1Unf 2-r5, 2 t-5 END DATE �Jne 7,�,-, 2viS-
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 prop as r.1nably ecessary to process this application. �7
Sign 'd Date
`JV t. - ■yam -)-
.
ROUTING: SPECIAL EVENT Building Section " v ""J
TEMPORARY USE Planning Section Building Section
i
105 Yelm Avenue West (360) 458 -3835
Yelm, WA 98597 (360) 458 -3144 FAX
wwtvxi.yelm.wa.us