20150333 Permit Pkg 11252015City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:
Name: YELM LIQUOR & BEVERAGE
Address: 16602 106TH AVE SE, STE Al
YELM WA 98597
Property Information:
Site Address: 1 anns; 1 nATW A \ /t= Ct= CTt` Al
Assessor Parcel No.:
Contractor Information:
Name: YELM LIQUOR & BEVERAGE
Address:
16602 106TH AVE SE, STE Al
YELM WA 98597
Contractor License No.:
Subdivision:
Permit No.: 20150333
Issue Date: 11/2512015
(Work must be completed within 180 days)
Phone: 458 -4014
Owner:
Lot:
Phone:
Expires: 0 /00 /0000
Project Information:
Project: OTHER SPECIAL EVENT
Description of Work: THANKSGIVING, BLACK FRIDAY WEEKEND EVENT NOV 25 THRU 28, 2015
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item
SE
Contractor
YELM LIQUOR & BEVERAGE
TOTAL FEES:
Applicant's Affidavit:
I certify t at I have read and examined the information contained within the application and know the same
to be tru and correct. I also certify that the proposed structure is in conformity with all applicable City of
Yelm re ulations including those governing zoning and land subdivision, and in addition, all covenants,
easeme is and res ctio s of record. If applying as a contractor, I further certify that I am currently
registere in he State o ashington.
Signature Date
I ./-
Firm 0,1 .IAA l 1vL�U IL Il (� QiL CL�
Fees
$ 0.00
$ 0.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
Nov.25.2015 10:03 AM Yelm Liquor & Beverage
3604584014 PAGE. 1/ 1
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r s� 3��
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 � r�
APPLICANT /BUSINESS NAME
Mailing Address J&& OnS io +h
City, State and Zip
Telephone EMAIL
City of Yelm Business License Number
SITE OWNER
Mailing Address
City, State and Zip
Telephone EMAIL
SITE ADDRESSILOCATION
SITE PARCEL NUMBER
SUMMARY OF REQUEST
START DATE / :.2 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 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 City of Yelm and other governmental agencies to enter upon and Inspect
said property as reasonab!
IL
ication.
Signed �� ate
ROUTING: SPECIAL EVENT Building Section
TEMPORARY USE Planning Section Building Section
J06 Yelm Avenue West
(360) 458 -8885
Yelm, WA 98397 (360) 498 -3144 FAX
uPu;wx1.ye1m.wa.ue