20150250 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: 706 YELM AVE E
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.: 20150250
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 PROMTIONAL FLAGS AUGUST 7 THRU 21. 2015
Fees:
Item
SE
Contractor
SHELL, YELM (GRAND STAR INC)
TOTAL FEES:
Applicant's Affidavit:
I certify th 1 have read and examined the information contained within the application and know the same
to be true nd correct. I also certify that the proposed structure is in conformity with all applicable City of
Yelm reg lations including those governing zoning and land subdivision, and in addition, all covenants,
easement and r st coons f record. If applying as a contractor, I further certify that I am currently
in
registered thentate of W shington. t ,
Signature V % (�V Date
Firm ., In Q ,l
Lot:
Fees
$ 0.00
$ 0.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
/'
I
4
City o Yel 4&50 A-50
I I.
.f M
Community Development Department
SPECIAL EVENT/ TEMPORAR Y USE
APPLICATION
L
WAiNIMf.TON
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 5-k e (I V -
APPLICANT/BUSINESS AME - l I
Mailing Address �o 6 eTW T/e e
City, State and Zip
Telephone o - c 1- EMAIL ; z:,,o c �; �. t a y 'M,/l , M
City of Yelm Business License Number
SITE OWNER to= uJ /9 o
Mailing Address
City, State and Zip Sa4m e at ti ve-
Telephone EMAIL
SITE ADDRESS /LOCATION
SITE PARCEL NUMBER
SUMMARY OF REQUEST
f 01e,o Ur 5OLL4
START DATE END DATE /•�T�1 /LSD
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 Iss is ,r proc ss application.
Signed ' Date / V
JUL U 6 R15
ROUTING: SPECIAL EVENT Building Section 11 47
TEMPORARY USE Planning Section Buildinl -� =
305 Yelm Avenue West (360) 458 -3835
Yelm, WA 98597 (360) 458 -3344 FAX
www.ei.yelm.wa.us