20160119 Permit Pkg 02012016City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:
Name: GELLER AUTO SALES INC.
Address: 43210 22ND AVE E
EATONVILLE WA 98328
Property Information:
Site Address: 1405 YELM AVE E
Assessor Parcel No.: 22730140400
Contractor Information:
Name: GELLER AUTO SALES INC.
Address:
43210 22ND AVE E
EATONVILLE WA 98328
Contractor License No.:
Permit No.: 20160119
Issue Date: 2/0112016
(Work must be completed within 180 days)
Phone: 253 - 241 -9725 OFFICE
Owner:
Subdivision: Lot:
Phone:
Expires: 0 /00 /0000
Project Information:
Project: OTHER SPECIAL EVENT
Description of Work: CAR SALE SIGNAGE FEB 1 THRU 16, 2016
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item
SE
Contractor
GELLER AUTO SALES INC.
TOTAL FEES:
Applican s Affidavit:
I certify th t 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 reg lations c uding those governing zoning and land subdivision, and in addition, all covenants,
easem en s and restrictions f record. If applying as a contractor, I further certify that I am currently
registere in the 8 ate of shington.
Signature Date
Firm ( —�.I�Q If �� C) -wkl .l
Fees
$ 0.00
$ 0.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
�pf THE' p
YEL
ze) It, 0 1 tq
City of Yelm
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)
NAME OF PROJECT
APPLICANTIBUS/NESS NAME
A &44
Mailing Address `i3 2- 1 r
L-
City, State ancl Zip L
Telephone 125 Q 11 -%
EMAIL r 'a.� u l,�•�rs «�
City of Yelm Busin G-1 r se Number /b - !/G �3
SITE OWNER
Mailing Address
City, State and Zip
Telephone c
EMAIL_ 'lc +�
SITE ADDRESSILOCATIO
/ 5 �
'W "IA
SITE PARCEL NUMBER
Z22
SUMMARY OF REQUEST
START DATE ! - = - `
END DATE
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 1 am the owner of the subject site or am duly authorized by
the owner to act with respect to this application.
employees and representatives of the City of Yel
Further, I grant permission from the owner to any and all
nd other governmental agencies to enter upon and inspect
said property as re sonably necessary
this application
/ ^f.-'>^
Signed
C'rl
Date_
ROUTING SPECIAL EVENT Budding Section
TEMPORARY USE Planning Section Building Section
105 Yelm Avenue West
PO Box 479
Yelm, WA 98597
(360) 158 -3835
(360).158-314.1 FAX
wrru•.oi velmara.us
00
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BY....................