20160104 Permit Pkg 02292016City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Permit No.: 20160104
Issue Date: 2/2912016
(Work must be completed within 180 days)
Applicant:
Name: LIBERTY TAX SERVICE Phone: 400 -1401
Address: PO BOX 2890
YELM WA 98597
Property Information:
Site Address: 715 YELM AVE E 3 Owner:
Assessor Parcel No.: 99002045441 Subdivision:
Contractor Information:
Name: LIBERTY TAX SERVICE Phone:
Address:
PO BOX 2890
YELM WA 98597
Contractor License No.: Expires: 0 /00 /0000
Project Information:
Project: OTHER SPECIAL EVENT
Description of Work. TAX BANNERS, FEBRUARY 29 THRU MARCH 14, 2016
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item
SE
Contractor
LIBERTY TAX SERVICE
TOTAL FEES:
Applican Affidavit:
I cert ify t a I have read and examined the information contained within the application and know the same
to be truf Ad correct. 1 also certify that the proposed structure is in conformity with all applicable City of
Yelm re ulation c u i ose governing zoning and land subdivision, and in addition, all covenants,
easeme is and r strictions f record. If applying as a contractor, I further certify that I am currently
register d in thryA State of hin ton. ( I
S gnatur I �.\ __ 1� .(.1/lAA— �P�Y Date � � 1 1 � lU
Firm
Lot:
Fees
$ 0.00
$ 0.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
JAN -09 -2016 05:53 From:
To:3604563144 Page:3�4
01(�pI(D�
City of Yelm
Community Development Department
SPECIAL EVENT/ TEWOR,ARY USE
APPLICATION
Special Event Sign Permit (limited to 14 days, 4 times per calendar year)
Temporary Use (property owner permisslon letter required)
(see REVERSE for regulations)
NAME OF PROJECT
APPLI CANTIBUSINESS NAME t kt- i Y -
Mailing Address `7l LX-n Pvvi F
City, State and Zip
Telephone 30= EZE- 14c EMAIL :,,4� �W
City of Yelm Business License Number l oal 15:
SITE OWNER
Mailing Address
City, State and Zip
Telephone AIL
SITE ADDRESSILOCATION
SITE PARCEL NUMBER
SUMMARY OF REQUEST
START DATE I END DATE Y3")A 1 -14 !o
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 duty 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 reasonably necessary to process this application.
Signed Date
ROOTING: SPECIAL EVENT Building Section
TEMPORARY USE Planning Section Building Section
108 Yelm Avenue West (860) 4584886
'PO Bas 479 (860) 458 -3144 FAX
Yelm, WA 98597 Wwm.cl.yelm.wa.ue