20160105 Permit Pkg 03282016City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:
Name: LIBERTY TAX SERVICE
Address: PO BOX 2890
YELM WA 98597
Property Information:
Site Address: 715 YELM AVE E 3
Assessor Parcel No.: 99002045441 Subdivision:
Contractor Information:
Name: LIBERTY TAX SERVICE
Address:
PO BOX 2890
YELM WA 98597
Contractor License No.:
Permit No.: 20160105
Issue Date: 3/28/2016
(Work must be completed within 180 days)
Phone: 400 -1401
Owner:
Lot:
Phone:
Expires: 0 /00 /0000
Project Information:
Project: OTHER SPECIAL EVENT
Description of Work: TAX BANNERS, MARCH 28 THRU APRIL 11, 2016
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item
SE
Contractor
LIBERTY TAX SERVICE
TOTAL FEES:
Applicant's Affidavit:
I certify th have read and examined the information contained within the application and know the same
to be tru an correct. I also certify that the proposed structure is in conformity with all applicable City of
Yelm rtn' ula Inr Inc u those governing zoning and land subdivision, and in addition, all covenants,
easem ts aestrictions f record. If applying as a contractor, I further certify that I am currently
registe in Mate of shington.
Date
Firm
Fees
$ 0.00
$ 0.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
JAN -09 -2016 05:54 From:
To:3604583144 Pa9e:4,4
2�tc)C)I
City of Yelm
�A
m 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
APPLICANT /BUSINESS NAME t T"
Mailing Address 1715 I= tfn PPVE .
City, State and Zip '21 135127
Telephone_ 3kcr- 40.,— iq-0 ► EMAIL -<CL01— wF?.: L 122:!i4 +ate°
City of Yelm Business License Number
SITE OWNER
Mailing Address_
City, State and Zip
Telephone
SITE ADDRESSIL-OCA77ON
SITE PARCEL NUMBER
SUMMARY OF REQUEST
START DATE _r,t?,�„ is END DATE
I affirm that all answers, statements and information above and submitted with this application are complete end
accurate to the best of my knowledge. t 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 property as reason bly necessary to process this application.
Signed Date - j
ROUTING: - SPECIAL EVENT Building Section I
TEMPORARY USE Planning Section Building Section
105 Yelm Avenue Weet (360) 458 -8835
lv0 Box 479 (860) 458 -3144 FAX
Yelm, WA 98597 WWW.M.yelm.wa.us