Loading...
20150251 Permit Pkg 07082015City of Yelm Community Development Department Building Division Phone: (360) 458 -8407 Fax: (360) 458 -3144 Applicant: Name: SHELL, YELM (GRAND STAR INC) Address: 706 YELM AVE E YELM WA 98597 Property Information: Site Address: 7nr% vm M AVF F Assessor Parcel No.: 22730110201 Subdivision: Contractor Information: Name: SHELL, YELM (GRAND STAR INC) Address: JOO YOUNGHWA 706 YELM AVE E YELM WA 98597 Contractor License No.: Expires Permit No.: 20150251 Issue Date: 7/08/2015 (Work must be completed within 180 days) Phone: 360- 789 -4884 Owner: Phone: Project Information: Project: OTHER SPECIAL EVENT Description of Work: SHELL V -POWER PROMOTION FLAGS SEPT 4 THRU 18, 2015 Fees: Item SE Contractor SHELL, YELM (GRAND STAR INC) TOTAL FEES: Applicant' Affidavit: I certify 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 Yelm reg la i hose governing zoning and land subdivision, and in addition, all covenants, easeme s and restrictions o record. If applying as a contractor, I further certify that I am currently registere in th State of Wa hington. Signatur J^ 490C Date Firm Q_QQ Lot: Fees $ 0.00 $ 0.00 OFFICIAL USE ONLY # Sets of Prints: Final Inspection: Date: By: on ,2v15o 0f 9 X0/50 0,150 City of Yelm,�0(50 -*7_5( Community Development Department SPECIAL EVENT/ TEMPORAR Y USE APPLICATION X LM 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 s V 1 Q I — ii t? u) e y P w VVI APPLICANT/BUSINESS NAME Mailing Address �0 6 Ye ,^M City, State and Zip Telephone 3 b - 7 71 v EMAIL ; vo c tA Y, ° I V) /H ek'J met, City of Yelm Business License Number SITE OWNER 0 �= W71 70 D Mailing Address City, State and Zip S�q'we c ve Telephone EMAIL SITE ADDRESS /LOCATION SITE PARCEL NUMBER SUMMARY OF REQUEST START DATE END DATE -� 1,2,tz 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 reaso bly ne 7 proc ss is application. Signed Date " / JT I JUL 0 8 2015 ROUTING: SPECIAL EVENT Building Section TEMPORARY USE Planning Section Building Section f 105 Yelrn Auenue West (360) 458 -3835 Yelm, WA 98597 (360) 458 -3144 FAX wwwxLyelm.wa.us