20150234 Permit Pkg 06252015City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Permit No.: 20150234
Issue Date: 6/2512015 1ZeVased
(Work must be completed within 180 days)
Applicant:
Name: RAINIER CHEVFRnKi Phone: 360- 458 -4011
Address: 16518 HWY 507
YELM WA 98597
Property Information:
Site Address: 16518 YELM AVE E Owner:
Assessor Parcel No.: 64303400500 Subdivision: N/A
Contractor Information:
Name: RAINIER CHEVERON Phone:
Address:
16518 HWY 507
YELM WA 98597
Contractor License No.: Expires: 0 /00 /0000
Project Information:
Project: OTHER SPECIAL EVENT
Description of Work: GRAND OPENING JULY 6 THRU JULY 20, 2015
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item
SE
Contractor
RAINIER CHEVERON
TOTAL FEES:
Applican s Affidavit:
I cert ify th t 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
Ye reg lation hose governing zoning and land subdivision, and in addition, all covenants,
easemen and stnctions f record. If applying as a contractor, I further certify that I am currently
registered in th tate of ashington.
Signature Date Z, • 5
Firm
Lot: N/A
Fees
$ 0.00
$ 0.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:
Name: RAINIER CHEVERON
Address: 16518 HWY 507
YELM WA 98597
Property Information:
Site Address: 16518 YELM AVE E
Assessor Parcel No.: 64303400500
Contractor Information:
Name: RAINIER CHEVERON
Address:
16518 HWY 507
YELM WA 98597
Contractor License No.:
Permit No.: 20150234
Issue Date: 6/25/2015
(Work must be completed within 180 days)
Phone: 360 - 458 -4011
Owner:
Subdivision: N/A
Phone:
Expires: 0 /00 /0000
Project Information:
Project: OTHER SPECIAL EVENT
Description of Work: GRAND OPENING JULY 1 THRU JULY 14, 2015
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item
SE
Contractor
RAINIER CHEVERON
TOTAL FEES:
Applicant's Affidavit:
' certify t at I have read and examined the information contained within the application and know the same
to be tru and correct. I also certify that the proposed structure is in conformity with all applicable City of
Yelm re ulations including those governing zoning and land subdivision, and in addition, all covenants,
easeme is f record. If applying as a contractor, I further certify that I am currently
register in tale of Was ington.
Signature Date S
Firm I \_ .L M
Lot: N/A
Fees
$ 0.00
$ 0.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
0rS oa3�
OF T� A •
City of Yelm
Community Development Department
SPECIAL EVENT I TEMPORARY USE
APPLICATION
YELM
WASHINGTON
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 Lr cAmrn'►
APPLICANT /BUSINESS NAME CA tyy?al
Mailing Address 16 /a Ye m Ave �
City, State and Zip A
Telephone 0 EMAIL H4cj
City of Yelm Business License Number
SITE OWNER
Mailing Address 161kJA
City, State and Zip �° ►'►1 1
Telephone lr)6 —9(1 — 3� EMAIL
SITE ADDRESS /LOCATION
SITE PARCEL NUMBER
SUMMARY OF REQUEST
START DATE f /��_END DATE ?
1 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 asreasonably necessary to process this application. L
Signed Date
ROUTING: SPECIAL EVENT Building Section
TEMPORARY USE Planning Section Building Section
105 Yelm Auenue West (360) 458 -3835
Yelm, WA 98597 (360) 458 -3144 FA-,UN 2 2 2015)
www.ei.yelm.wa.us