20160195 Permit Pkg 04182016City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Permit No.: 20160195
Issue Date: 4/18/2016
(Work must be completed within 180 days)
Applicant:
Name: GELLER AUTO SALES INC. Phone: 253 - 241 -9725 OFFICE
Address: 43210 22ND AVE E
EATONVILLE WA 98328
Property Information:
Site Address: 1405 YELM AVE E Owner:
Assessor Parcel No.: 22730140400 Subdivision:
Contractor Information:
Name: GELLER AUTO SALES INC. Phone:
Address:
43210 22ND AVE E
EATONVILLE WA 98328
Contractor License No.: Expires: 0 /00 /0000
Project Information:
Project: OTHER SPECIAL EVENT
Description of Work: CAR SALE. APRIL 18 THRU MAY 3, 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 ave read and examined the information contained within the application and know the same
to be true d correct. I also certify that the proposed structure is in conformity with all applicable City of
Ye lm regul ti nsaei�.)hose governing zoning and land subdivision, and in addition, all covenants,
easement d r trictions f record. If applying as a contractor, I further certify that I am currently
registered a to of ashington.
Signature Date qv), I 1p
Firm t('
Lot:
Fees
$ 0.00
$ 0.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
2oI('P0 (rid
City of Yelm
Community Development Department
SPECIAL EVENT I TEMPORARY USE
APPLICATION
Special Event Sign Permit (limited to 94 days, 4 times per calendar year)
Temporary Use (property owner permission letter required)
NAME OF PROJECT
(see REVERSE for regulations)
}. �
APPLICANTISUSINESS NAME r f�
Mailing Address 13 -110 — ,Q,-c t7
V'Lr, V--W QI �
Telephone
City of Yelm
6010"
SITE OWNER as m), �& L 44—,-
Mailing L-
City, State and Zip GEC V,' '
Telephone EMAIL art ' G
SITE ADDRESS /LOCATION / -5, S
SITE PARCEL NUMBER d -
SUMMARY OF REQUEST
START DA
.r- i
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 cf the City of yelm an ther governmental agencies to enter upon and inspect
said property as reasonably necessary to process t pplication.
Signed Date
n
ROUTING: SPECIAL EVENT
TEMPORARY USE
.105 Yelm Avenue hest
Yel,n, WA 98597
Building Section
Planning Section Building section
(360) 4
(360) 4
www.c
717T
FAX _
Ia.us Z. i S2016
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