20160102 Permit Pkg 01112016City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Permit No.: 201 60102
Issue Date: 1/1112016
(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, JANUARY 11 THRU 25, 2016
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item
SE
Contractor
LIBERTY TAX SERVICE
triYlcl�y���l
Applicant's Affidavit:
I certify that I have read and examined the information contained within the application and know the same
to be truEfand correct. I also certify that the proposed structure is in conformity with all applicable City of
Yelm re lati uding those governing zoning and land subdivision, and in addition, all covenants,
easeme is an restri ons of record. If applying as a contractor, I further certify that I am currently
register 4d in t Stat of Washington. n
Lot:
Fees
$ 0.00
$ 0.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
JAN -08 -2016 87:22 From: To:3604583144 Page:2,2
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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 permilssion latter required)
(see REVERSE for regulations)
NAME OF PROJECT
APPLICANT /BUSIN RA E
Mailing Address AM PF
City, State and Zip
Telephone EMAIL •
City of Yelm Business License Number O
SITE OWNER
Mailing Address
City, State and Zip
Telephone EMAIL
SITE ADDRESSILOCATION
SITE PARCEL NUMBER
SUMMARY OF REQUEST
STA T DATE +� _. END DATE
•1 • a� �0.��1 3.� t� f1
I affirm that all answers, statements and Information above and submitted With this application are complete and
accurate to the best of my knowledge. 1 also affirm that t am the owner of the subject site or am duly authorized by
the owner to ail with respect to this application. f=urther, I grant permission from the owner to any and all
employees and representatives of the City of Yelm and other govemmental agencies to enter upon and inspect
said property as real ably necessary to process this application.
Signed Date r` •
ROUTING: - SPrECIAL EVENT
TEMPORARY USE
I" Yelm Avenue West
PO Bas 479
Yelm, WA 98597
Building Section
Planning Section
1.661
_ Building S I
(860) �f88 -8
(960) 458-8 FAX,. j U SJ 2 t
www.ciyelm.tnaue
BY- -------------- - - - - --
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FAX NUMBER: G
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NO. OF PAGES QL
To: 3604583144 Page: l,2
715 E Yelm Ave Suite 3
Yelm, WA 98597
Phone: (360) 400 -1401
FAX: (360) 350 -5601
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