20150315 Permit Pkg 10192015City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:
Name: TWISTER DONUT II
Address: 4524 RUDDELL RD
LACY WA 98503
Property Information:
Site Address: 305 YELM AVE E
Assessor Parcel No.: 22719341000
Contractor Information:
Name: TWISTER DONUT II
Address:
4524 RUDDELL RD
LACY WA 98503
Subdivision:
Contractor License No.: Expires
Permit No.: 20150315
Issue Date: 10/19/2015
(Work must be completed within 180 days)
Phone: 360- 561 -2669
Owner:
Lot:
Phone:
0 /00 /0000
Project Information:
Project: OTHER SPECIAL EVENT
Description of Work: TEMPORARY BANNER. OCTOBER 19 THRU NOVEMBER 2, 2015
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item
SE
Contractor
TWISTER DONUT II
TOTAL FEES:
Applicant's Affidavit:
I certify t t I have read and examined the information contained within the application and know the same
to be tr and correct. I also certify that the proposed structure is in conformity with all applicable City of
Yelm r gulati ding those governing zoning and land subdivision, and in addition, all covenants,
easem nts and restric ions of record. If applying as a contractor, I further certify that I am currently
registe ed in the Sta of Washington.
Signat a 1(/1�, � Date lb /� �, S
Firm
Fees
$ 0.00
$ 0.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
10 :''05/2013 21:12
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PAGE 01!01
City of Yelm�15o3�s
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 f z r
APPLICANT /BUSINESS NAME i
Mailing Ad ress
'AP-4y bll>z
City, 'State and Zip 2A 7 el �
Telephone O H` EMAIL C
City of Yelm usiness License Number
SITE OWNER /
Mailing Address
City, State and Zip bzw oje- .
Telephone 360 S r EMAIL
SITE ADDRESS /LOCATION
SITE PARCEL NUMBER
SUMMARY OF REQUEST
START DATE /D � � ' 2D / END DATE / / - d ?
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 ppllcation. Further, I grant permission from the owner to any and all
employees and represen Ives o e City of Yelm and other governmental agencies to enter upon and inspect
said property as yeas no to process this application.
Signed
Date Z,6 / 17 I .-
I-- IROUTING: SPECIAL EVENT BUllding'Soction
TEMPORARY USE ^ , _ Pl;Anping Section Building Section
105 Yelm Avenue West
Yelm, VVA 98597
(360) 458 -8835
(360) 458-3144 FAX
www.ci..yelm..wa.us