20150284 Permit Pkg 08282015City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Permit No.: 20150284
Issue Date: 8/28/2015
(Work must be completed within 180 days)
Applicant:
Name YELM COMMUNITY SCHnni S Phone: 360- 458 -1900
Address: P.O. BOX 476
YELM WA 98597
Property Information:
Site Address: 404 YELM AVE W Owner
Assessor Parcel No.: 75301000000 Subdivision: N/A
Contractor Information:
Name: YELM COMMUNITY SCHOOLS Phone:
Address:
P.O. BOX 476
YELM WA 98597
Contractor License No.: Expires: 0 /00 /0000
Project Information:
Project: OTHER SPECIAL EVENT
Description of Work: SUB CUSTODIANS NEEDED BANNER. AUGUST 31 THRU OCT 31, 2015
Fees:
Item
SE
Contractor
YELM COMMUNITY SCHOOLS
TOTAL FEES:
Applicant' Affidavit:
I certify t at I have read and examined the information contained within the application and know the same
to be tru and correct. I also certify that the proposed structure is in conformity with all applicable City of
YeIm re ulations including those governing zoning and land subdivision, and in addition, all covenants,
easeme is an L ons of record. If applying as a contractor, I further certify that I am currently
register d in t f Washington.
Signature Date '� • (�j
Firm ( I I
Lot: N/A
Fees
$ 0.00
$ 0.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
2,0150aeq
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 x(13 S &Ei) 6 I,� & 4 '=
APPLICANT /BUSINESS NAME '° �rVf (icy li�w�ini P Lt -ftie }t
Mailing Address P C RLE`X 7 lL
City, State and Zip Y EL- VA LAt,l 7
Telephone r '3(-; r: 14` , 1 5 r- C EMAIL C_ ��� i s .�lr rt S R ; (fir �Zif - L.:edil
City of Yelm Business License Number
SITE OWNER
Mailing Address
City, State and Zip
Telephone EMAIL
SITE ADDRESS /LOCATION 0 2-- EL114
`t' 4�
SITE PARCEL NUMBER
SUMMARY OF REQUEST S 1 ,�,hJ -7-Z /+I)
,.� 'E-7JCc AT VWS }15
START DATE & i - S- END DATE 31 - 1 '�—
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 prope as reasably necessary to process this application.
Signed � ��€,�, �L(�La. ---- -� Date G%
ROUTING: SPECIAL EVENT Building Section
TEMPORARY USE Planning Section Building Section
105 Yelm Avenue West (`3 ,0) 158 -3835
Yelm, WA 98597 j Q (360) 458-3144 FAX
j` AUG 2 p 2019 www.ci.ye1m.wa.us
Wit_ if A(
Karen T. Bennett
permit Coordinator /Admire support
d
City ®f Yelm
Community
Development
1E: M
office: (360) 458 -3835
Fax: (360) 458 -3144
105 Yelm Ave. W
�vWw.ci.yelm.wa.us
Yelm, NvA 98597
lcarenb @ci.yelm.wa.us
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 x(13 S &Ei) 6 I,� & 4 '=
APPLICANT /BUSINESS NAME '° �rVf (icy li�w�ini P Lt -ftie }t
Mailing Address P C RLE`X 7 lL
City, State and Zip Y EL- VA LAt,l 7
Telephone r '3(-; r: 14` , 1 5 r- C EMAIL C_ ��� i s .�lr rt S R ; (fir �Zif - L.:edil
City of Yelm Business License Number
SITE OWNER
Mailing Address
City, State and Zip
Telephone EMAIL
SITE ADDRESS /LOCATION 0 2-- EL114
`t' 4�
SITE PARCEL NUMBER
SUMMARY OF REQUEST S 1 ,�,hJ -7-Z /+I)
,.� 'E-7JCc AT VWS }15
START DATE & i - S- END DATE 31 - 1 '�—
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 prope as reasably necessary to process this application.
Signed � ��€,�, �L(�La. ---- -� Date G%
ROUTING: SPECIAL EVENT Building Section
TEMPORARY USE Planning Section Building Section
105 Yelm Avenue West (`3 ,0) 158 -3835
Yelm, WA 98597 j Q (360) 458-3144 FAX
j` AUG 2 p 2019 www.ci.ye1m.wa.us
Wit_ if A(