20160194 Permit Pkg 04182016City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458-3144
Applicant:
Name: LIMEBERRY - YELM
Address: GRANT & STACY CRAIN
OLYMPIA WA 98506
Property Information:
Site Address: 1 gn7 YFI M AX /G G i nZ
Assessor Parcel No.: 22730110403 Subdivision:
Contractor Information:
Name: LIMEBERRY - YELM
Address: HEIDE TOEPKE
GRANT & STACY CRAIN
OLYMPIA WA 98506
Contractor License No.:
Permit No.: 20160194
Issue Date: 4/18/2016
(Work must be completed within 180 days)
Phone: 360- 481 -1485 STACY
CRAI
Owner:
Phone:
Expires: 0 /00 /0000
Project Information:
Project: OTHER SPECIAL EVENT
Description of Work: BANNER. APRIL 18 THRU May 2nd 2016
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item
SE
Contractor
LIMEBERRY - YELM
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 and correct. I also certify that the proposed structure is in conformity with all applicable City of
Yelm regulations 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 in the ate of W ington. A r7
Signature L Date �'O In r Y— �0
Firm
Lot:
Fees
$ 0.00
$ 0.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
2a(ooiqq
City of Yelm
v
0!%
"' 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 -J r ; 1<S C, S
APPLICANT /BUSINESS NAME L %ase,bea
Mailing Address L--
City, State and Zip
Telephone "'S clklo -�Zz. EMAIL 1 3S yc-, kgo .rc
City of Yelm Business License Number Z Q- Z 1
SITE OWNER Le --�ntir C L z, =,o-
Mailing Address ,)210 5 r-y-N A v k t
City, State and Zip t 3
Telephone EMAIL yN n S4 S:�:�
SITE ADDRESS /LOCATION
l _a 0 t & y -e 1rr1 A v c y'r I rvi wc\ 01 5X17
SITE PARCEL NUMBER
SUMMARY OF REQUEST��,,,
START DATE t a c o to END DATE CA A r 2c) \0
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 the City of Yelm and other governmental agencies to enter upon and inspect
said property as reasonably necessary to process this application.
Signed �� �C Date
ROUTING: SPECIAL EVENT
TEMPORARY USE
105 Yelm Avenue West
Yelm, WA 98597
L?, \!ri e-� — "
Building Section & ' -.-
Planning Section Building Section
(360) 458 -3835
(360) 458 -3144 FAX
www.ci.yelm.wa.us