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:
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SMINCTON
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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
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