20160142 Permit Pkg 02262016City 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: lAn; YFI M AVF F
Assessor Parcel No.: 22730140400 Subdivision:
Contractor Information:
Name: GELLER AUTO SALES INC.
Address:
43210 22ND AVE E
EATONVILLE WA 98328
Contractor License No.: Expires
Permit No.: 20160142
Issue Date: 2/26/2016
(Work must be completed within 180 days)
Phone: 253 - 241 -9725 OFFICE
Owner:
Lot:
Phone:
0 /00 /0000
Project Information:
Project: OTHER SPECIAL EVENT
Description of Work: CAR SALES #2 FEB 26TH THRU MARCH 10, 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:
Applicant's A idavit:
I certify that I ve 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 regulati ns including those governing zoning and land subdivision, and in addition, all covenants,
easements a d res dcti s o record. If applying as a contractor, I further certify that I am currently
registered in a St of W hington.
Signature � Date 3 ` Ltr
Firm (�_I f pAI (311 10 "n
Fees
$ 0.00
$ 0.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
r ,
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 C'40 e, 5ar '-P_
APPLICANT /BUSINESS NAME err S �'S
Mailing Address 4i37- (e) - C
City, State ang Zip �P A 19
Telephone S S EMAIL rain a r`lzc�M .crh
City of Yelm usiness License Number 16- 1073
SITE OWNER Mailing Address- 2- L:
City, State and Zip Oz v,' gg3ah►'
Telephone EMAIL
SITE ADDRESS /LOCATION I y S tP 7
SITE PARCEL NUMBER 2. - -
SUMMARY OF REQUEST
START DATE M END DATE
F 2, 4 1
I affirm that ail 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 City of Yelm anp,2ther governmental agencies to enter upon and inspect
said property as reasonably necessary to process t pplication.
Signed Date �2 — 2-V -,)all
ROUTING: SPECIAL. EVENT Building Section
TEMPORARY USE Planning Section Building Section
LOS Yelm ,Avenue West � L?Kj kU Zra J; & Lg (364) 458 -8855
Yelm, WA 98597 (880) 458 -3144 FAX,
-fir ��t� u,umu-ciyelm.wa.us
2 U'
BY....................