20160103 Permit Pkg 02022016City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Permit No.: 20160103
Issue Date: 2/02/2016
(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 2 THRU 15, 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 that I have read and examined the information contained within the application and know the same
to be true d correct. I also certify that the proposed structure is in conformity with all applicable City of
Yelm regu tion ing those governing zoning and land subdivision, and in addition, all covenants,
easement and restrictio s of record. If applying as a contractor, I further certify that I am currently
registered in thotate Washington.
re
Firm
Date
Lot:
Fees
$ 0.00
$ 0.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
JAN -09 -2016 05:53 From:
To:36045e3144 Page:2,4
nn
ltoDl03
City of Yelm
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
APPLICANTIBUSINESS NAME L—I&EACEY -
Mailing Address 1 I` Ly-n
City, State and Zip
LTelephone 3� �:- i1-4 C, EMAIL,
City of Yelm Business License Number
SITE OWNER
Mailing Address
City, State and Zip
Telephone EMAIL
SITE ADDRESS /LOCATIDJY
SITE PARCEL NUMBER
SUMMARY OF REQUEST
START DA I END DATE Efb 150 I
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 property as reasonably necessary to process this application.
Signed R —Date—JO-141- � , j
ROUTING: - SPECIAL EVENT Building Section
TEMPORARY USE Planning Section Building Section
105 Yelm Avenue West (360) 4b8 -3833
PO Bax 479 (360) 458-3144 FAX
Yer n, WA ' 98597 WWW- ci.yelm.Wa. ue
JAN -09 -2016 05:53 From: To:3604583144 Pa9e:1 ,'4
LIBERTY
Tax
SERVICE
715 E Yelm Ave Suite 3
Yelm, WA 98597
Phone: (360) 400 -1401
FAX: '(360) 350 -5601
TO: I — v M
ATTN:
FROM: L 8c(t 7 y :ZA-K
FAX NUMBER:
SUBYECT: S26c-(,4( UP U7 S( tN 111t MI
NO. OF PAGES----;Z---4—
)Le Ck
X -r-I -1(a
d4.G