20150249 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 YFI 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.: 20150249
Issue Date: 7/0812015
(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 PRMOTIONAL FLAGS JULY 10 THRU 24, 2015
Fees:
Item
SE
Contractor
SHELL, YELM (GRAND STAR INC)
TOTAL FEES:
Applican 's Affidavit:
I certify t a I have read and examined the information contained within the application and know the same
to be tru4 and correct. I also certify that the proposed structure is in conformity with all applicable City of
Yelm regulations in ng those governing zoning and land subdivision, and in addition, all covenants,
easements an restnc ns of record. If applying as a contractor, I further certify that I am currently
registerejd in t� State f Washington. I
Signatur 1/' V Ata Date 1 - -C) -I
Firm
Lot:
Fees
$ 0.00
$ 0.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
,2v15o �f 9
X0 /50 iP-50
City of Yelm�(slov-51
Community Development Department
SPECIAL EVENT I TEMPORARY USE
APPLICATION
EL
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)
JUL 0 8 2015
ROUTING: SPECIAL EVENT Building Section ; ;N/.
TEMPORARY USE Planning Section Building Section
105 Yelm Avenue West (360) 458 -3835
Yelm, WA 98597 (360) 458 -3144 FAX
www.ci.yelm.wa.us
NAME OF PROJECT
APPLICANT /BUSINE S NAME
Vie
Mailing Address 'J 6 e—i
A,,
City, State and Zip
Telephone 3 b ._ 7 6 1-
EMAIL ; uo c V; a v) /M
City of Yelm Business License Number
SITE OWNER
0
Mailing Address
City, State and Zip S�Iw�e
« rf`Ve-
Telephone
EMAIL
SITE ADDRESS /LOCATION
SITE PARCEL NUMBER
SUMMARY OF REQUEST
n
aii
START DATE��( TEND
DATE 99,4 !�z /, 2
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 reasopably ne `ss proc ss
Signed
isapplication.
Date
JUL 0 8 2015
ROUTING: SPECIAL EVENT Building Section ; ;N/.
TEMPORARY USE Planning Section Building Section
105 Yelm Avenue West (360) 458 -3835
Yelm, WA 98597 (360) 458 -3144 FAX
www.ci.yelm.wa.us