Loading...
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