20160265 Permit Pkg 06232016City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Applicant:
Name: TACO GABY
Address: 14345 WALTON LN SE
YELM WA 98597
Property Information:
Site Address: 307 YELM AVE E
Assessor Parcel No.: 22719341200 Subdivision:
Contractor Information:
Name: TACO GABY
Address:
14345 WALTON LN SE
YELM WA 98597
Contractor License No.:
Permit No.: 20160265
Issue Date: 6/23/2016
(Work must be completed within 180 days)
Phone: 360- 458 -2342
Owner:
Lot:
Phone:
Expires:
Project Information:
Project: OTHER SPECIAL EVENT
Description of Work: DANCING HORSES, BEER GARDENS AND FOOD SALES. JUNE 23 THRU JULY 4, 2016
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item
SE
Contractor
TACO GABY
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 orrect. I also certify that the proposed structure is in conformity with all applicable City of
Yelm regulatio s including those governing zoning and land subdivision, and in addition, all covenants,
easements anil res rictions ecord. If applying as a contractor, I further certify that I am currently
registered in t e S to of Was ngton.
Signature Date
Firm
Fees
$ 0.00
$ 0.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
,1.1.•
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 ' y- s-e> .t
APPLICANT /BUSINESS NAME
Mailing Address
City, State and Zip
Telephone EMAIL .{ by j tVk 04,)fWc = Jt til (( ,
City of Yelm Business License Number
SITE OWNER
Mailing Address
City, State and Zip
Telephone EMAIL
SITE ADDRESS /LOCATION
SITE PARCEL NUMBER
SUMMARY OF REQUEST
START DATE 17 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 ac with respect to this application. Further, I grant permission from the owner to any and all
employees epresentatives of the City of Yelm and other governmental agencies to enter upon and inspect
said prope s reasonably Ces ary to process this application. 201(,
Sign d � �/ Date
ROUTING: SPECIAL EVENT
TEMPORARY USE
105 Yelm Avenue West
Yelm, WA 98597
Building Section
Building Section
���� (360) 458 -3835
L"J (360) 458 -3144 FAX
BY www.ci.yelsn.wa.us
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