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20150237 Permit Pkg 07022015City of Yelm Community Development Department Building Division Phone: (360) 458 -8407 Fax: (360) 458 -3144 Applicant: Name: GELLER AUTO SALES INC. Address: 43210 22ND AVE E EATONVILLE WA 98328 Property Information: Site Address: l Ann% vm M AVF 1= Assessor Parcel No.: 22730140400 Subdivision: Contractor Information: Name: GELLER AUTO SALES INC. Address: 43210 22ND AVE E EATONVILLE WA 98328 Contractor License No.: Permit No.: 20150237 Issue Date: 7/02/2015 (Work must be completed within 180 days) Phone: 253 - 241 -9725 Owner: Phone: Expires: 0 /00 /0000 Project Information: Project: OTHER SPECIAL EVENT Description of Work: 4TH OF JULY EVENT. JULY 1 THRU JULY 14, 2015 Sq. Ft. per floor: First Heat Type (Electric, Gas, Other): Second Third Garage Basement Fees: Item SE Contractor GELLER AUTO SALES INC. TOTAL FEES: Applic nt's Affidavit: I certiq that I have read and examined the information contained within the application and know the same to be tilue and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm r gulatio s inc g those governing zoning and land subdivision, and in addition, all covenants, easem nts and restricti s of record. If applying as a contractor, I further certify that I am currently register d in th Stat f Washington. Signatur Date Firm ---0 1 G. Lot: Fees $ 0.00 $ 0.00 OFFICIAL USE ONLY # Sets of Prints: Final Inspection: Date: By: &5o 21��7 City of Yelm Community Development Department SPECIAL EVENT/ TEMPORARY USE APPLICATION Special Event Sign Permit (limited to 44 days. 4 tunes per calendar year) Temporary Use (property owner permission letter required) (see REVERSE for regulations) NAME OF PROJECT r APPLICANT /BUSINESS NAME 00-i Mailing Address `62 6 —72-C Ave- L- City, State and Zip E ," Telephone EMAIL City of Yelm Business License Number 1!073 SITE OWNER S Mailing Address City, State and Telephone -:ZAl 7t1--L/339 EMAIL.. SITE ADDRES ATIaN t D g- i*^-1 hiA -7 SITE PARCEL NUMBER F Y 0 1100 SUMMARY OF REQUEST START DATE -Z" t14 ps 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 applicat _ F rther, I grant permission from the owner to any and all employees and representatives of the City t Irr and other governmental agencies to enter upon and inspect said property as reasonably necessary t as tills application. signed !]ate —20 ROUTING: SPECIAL EVENT Building Section TEMPORARY USE Nanning Section Builaing Sec don 105 Yelm Acwnue hest (3soj 45*4836 PO Rox 979 (860) 4583144 PAX Yeln4IVA 98597 [oWWxiye1m_ro0x6