20150338 Permit Pkg 12012015City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:
Name: A NOVEL BOOK STORE
Address: 412 REFLECTION LANE
RAINIER WA 98576
Property Information:
Site Address: 3(15 FIRST ST R
Assessor Parcel No.: 64420200100
Contractor Information:
Name: A NOVEL BOOK STORE
Address:
412 REFLECTION LANE
RAINIER WA 98576
Contractor License No.:
Permit No.: 20150338
Issue Date: 12/01/2015
(Work must be completed within 180 days)
Phone: 360- 458 -4722
Owner:
Subdivision: Lot:
Phone:
Expires: 0 /00 /0000
Project Information:
Project: OTHER SPECIAL EVENT
Description of Work: BOOK SALE. DEC 1 THRU 29, 2015
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item
SE
Contractor
A NOVEL BOOK STORE
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 and correct. I also certify that the proposed structure is in conformity with all applicable City of
Yelm regulations including those governing zoning and land subdivision, and in addition, all covenants,
easements and restrictions of record. If applying as a contractor, I further certify that I am currently
regiE
Firm
Fees
$ 0.00
$ 0.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
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WASHINGTON
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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 permission letter required)
(see REVERSE for regulations)
NAME OF PROJECT '5
APPLICANT /BUSINESS NAME A k 6y C L
Mailing Address
City, State and Zip —dam
Telephone EMAIL bn b il,4 VJpx tM�e Cc
City of Yelm Business License Number
SITE OWNER
Mailing Address
City, State and Zip
Telephone EMAIL
SITE ADDRESS /LOCATION
SITE PARCEL NUMBER
SUMMARY OF REQUEST v-� 6
START DATE r 5 O END DATE C Z6 S
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 4y of Yelm and other governmental agencies to enter upon and inspect
said property as re sonably necessa t rocess this application.
Signed Date FCC
iirl: it Ajlh
ROUTING: SPECIAL EVENT Building Section
TEMPORARY USE Planning Section Building Section
105 Yelm Avenue West (360) 458 -3835
Yelm, WA 98597 (360) 458 -3144 FAX
www.ci.yelrn.wa.us