20150340 Permit Pkg 12032015City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:
Name: LA GITANA PIZZERIA
Address: 309 YELM AVE E
YELM WA 98597
Property Information:
Site Address: qnQ vm M AVF F
Assessor Parcel No.: 22719341901 Subdivision:
Contractor Information:
Name: LA GITANA PIZZERIA
Address: 309 YELM AVE E
YELM WA 98597
Contractor License No.:
Permit No.: 20150340
Issue Date: 12/03/2015
(Work must be completed within 180 days)
Phone: 360- 894 -0640
Owner:
Phone:
Expires: 0 /00 /0000
Project Information:
Project: OTHER SPECIAL EVENT
Description of Work: BANNERS FOR THE CHRISTMAS SEASON. DEC 4, THRU 17, 2015
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item
SE
Contractor
LA GITANA PIZZERIA
TOTAL FEES:
Applicant' Affidavit:
I certify tha I have read and examined the information contained within the application and know the same
to be true a d correct. I also certify that the proposed structure is in conformity with all applicable City of
Yelm regul tions 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
registered i the Mate of ashington.
Signature Date Z.- S • ( S
Firm �► ��i. i-a ��� zz�►, tw
Lot:
Fees
$ 0.00
$ 0.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
,I n t
OL"
City of helm
Community Development Department
SPECIAL EVENT / 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)
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I affirm that all answers, statements and information above and submitted with this application are complete and
accurate to the best of my knotAedge. I also affirry, 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.
ROUTING: SPECIAL EVENT Building Section,
TEMPORARY USE Planning Section - Building Section
105 Yelm,Avenup West
yelln, WA 9si97
F-11VED
DEC 0 3 2015
(360) 458-3835
(360) 15,1-31,14 FAX
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