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20150271 Permit Pkg 08062015City of Yelm Community Development Department Building Division Phone: (360) 458 -8407 Fax: (360) 458 -3144 Applicant: Name: FIRST BAPTIST CHURCH Address: P.O. BOX 5090 YELM WA 98597 Property Information: Site Address: 602 103RD AVE SE Assessor Parcel No.: 22730110102 Subdivision Contractor Information: Name: FIRST BAPTIST CHURCH Address: P.O. BOX 5090 YELM WA 98597 Contractor License No.: Permit No.: 20150271 Issue Date: 8/06/2015 (Work must be completed within 180 days) Phone: Owner: N/A Phone: Expires 0 /00 /0000 Project Information: Project: OTHER SPECIAL EVENT Description of Work: VACATION BIBLE SHCOOL AUG 6 THRU 15, 2015 Sq. Ft. per floor: First Heat Type (Electric, Gas, Other): Second Third Garage Basement Fees: Item SE Contractor FIRST BAPTIST CHURCH TOTAL FEES: Applic is Affidavit: I certify hat I have read and examined the information contained within the application and know the same to be tr a and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm re ulati s i those governing zoning and land subdivision, and in addition, all covenants, jregistere� eme s a estriction of record. If applying as a contractor, I further certify that I am currently in h Sta te o ashin to nature )J (( Date UJ ' Cl Firm Lot: N/A Fees $ 0.00 $ 0.00 OFFICIAL USE ONLY # Sets of Prints: Final Inspection: Date: By: �� �V THE p 0 WAWA SMINCTON N City of Yelm Community Development Department SPECIAL EVENT I TEMPORARY USE APPLICATION 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 r 7 J APPLICANT /BUSINESS NAME /-1 rS C L a Mailing Address: City, State and Zip Telephone 3?6b - EMAIL City of Yelm Business License Number J 4 SITE OWNER _ Mailing Address City, State and Zip Telephone EMAIL SITE ADDRESS /LOCATION SITE PARCEL NUMBER SUMMARY OF REQUEST START DATE ( -7 > END DATE 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 applicatio Further, I grant permission from the owner to any and all employees and representatives of the 'ty elm and other governmental age ies to enter upon and inspect said property 77ra n cess to ocess this application. Signed � Date r J ROUTING: SPECIAL EVENT Building Section TEMPORARY USE Planning Section Building Section 105 Yelm Avenue West (360) 458 -3835 Yelm, WA 98597 AUG 0 5 2015 (360) 458 -3144 FAX www.c i.yelm. wa. us 7