Loading...
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 3604128068 31218 LAS PALMAS JAR 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