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