20160129 Permit Pkg 02112016City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:
Name: ROSE'S RESTAURANT
Address: 9144 BURNETT RD SE, STE. A101
YELM WA 98597
Property Information:
Site Address: QlAA RIIRNFTT RIB SF RA
Assessor Parcel No.: 21713340601
Contractor Information:
Name: ROSE'S RESTAURANT
Address:
9144 BURNETT RD SE, STE. A101
YELM WA 98597
Subdivision: N/A
Contractor License No.: Expires
Permit No.: 20160129
Issue Date: 2/11/2016
(Work must be completed within 180 days)
Phone: 360 - 960 -8220
Owner: JAMES CAPEZIO
Lot:
Phone:
0 /00 /0000
Project Information:
Project: SPECIAL EVENT
Description of Work: GRAND OPENING BANNER, PER SITE PLAN. STARTING DATE: FEB 13 THRU 27, 2016
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item
SE
Contractor
ROSE'S RESTAURANT
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 a 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,
easement and restrictions of record. If applying as a contractor, I further certify that I am currently
registered n the State of Was ington.
Signature Date
Firm �ds8 5 •C�,�"Z►cy'a.
Fees
$ 0.00
$ 0.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
YELM
WASHINGTON
City of Yelm
SPECIAL EVENT /TEMPORARY USE
KSpecial Event Sign Permit 11 Temporary Use
Start Date: "VI 160 End Date:
. S � Owner:
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CT�
Address: q lot &C _A t:
Address: 444525� "
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Telephone: 0 Telephone: 'J(00
Email : -
Email: J @ l&k
Representative: Ck O
Mailing Address: � to
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Telephone:3w _L(( - C9 -4tO(D Email: ��P�� �
General location of the project: G I LA-� bui -1 DZLSG- t qdA-A
Assessor's Tax Parcel Number: 41 1313 (00 1
Description of Project:
CPS
Attach a site plan no larger than 11" X 17" showing the proposed development.
Yelm City Hall
105 Yelm Avenue West
Yelm, WA 98597
0 205
BY: -------------- - - - - --
(360) 458 -3244
(360) 458 -4348 FAX
www.ci.yelm.wa.us