20160251 Permit Pkg 06142016City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Permit No.: 20160251
Issue Date: 6/14/2016
(Work must be completed within 180 days)
Applicant:
Name: YELM CO -OP Phone: 360- 400 -2210
Address: PO BOX 75301
YELM WA 98597,, °5
Property Information:
Site Address: 308 YELM AVE E Owner:
Assessor Parcel No.: 99000114600 Subdivision:
Contractor Information:
Name: YELM CO -OP Phone:
Address: HEIDI SMITH
PO BOX 75301
YELM WA 98597
Contractor License No.: Expires:
Project Information:
Project: OTHER SPECIAL EVENT
Description of Work: BEER AND BRATS FESTIVAL JUNE 23, 2016
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item
SE
Contractor
YELM CO -OP
TOTAL FEES:
Applicant's Affidavit:
I certify th I have read and examined the information contained within the application and know the same
to be true nd correct. I also certify that the proposed structure is in conformity with all applicable City of
Yelm regu t ncIu i those governing zoning and land subdivision, and in addition, all covenants,
easement an restric ns of record. If applying as a contractor, I further certify that I am currently
registered i t e State Washington.
Signature / Date 1q .RP
Firm r. • ii:,
Lot:
Fees
$ 0.00
$ 0.00
OFFICIAL USE ONLY
# Sets of Prints.
Final Inspection:
Date:
By:
'tnlGo�/
City of Yelm
Community Development Department
SPECIAL EVENT I TEMPORARY USE
APPLICATION
Z.
WA9NIMG T+7N
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 6eer
APPLICANT/BUSINESS NA E
Mailing Address I
City, State and Zip r
Telephone '56o — --�Z 0 EMAIL SS C1 coa �d I
City of Yelm Business License Number
SITE OWNER e rvt Co —o
Mailing Address PM 4 Z-
-
City, State and Zip L4
Telephone EMAIL lkvij, o
SITE ADDRESS /LOCATION
S
SITE PARCEL NUMBER 19 Z-0 0l 3d
SUM#fARYOFRE UEST
C Le-
STARTDATE &2 END DATE Z
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 t procq@s this application.
Signed Date
ROUTING: SPECIAL EVENT Building Section
TEMPORARY USE Planning Section Building Section
105 Yelm Avenue West (360) 458 -3835
Yelm, WA 98597 (360) 458 -3144 FAX
www.ei.yelm.wa.us
6116/2016
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20150187 Permit Pkg 05082015
Last Modified
3/29/2016 1:02:34 PM
Creation Date
5/1 3/201 5 4:13:25 PM
Fields
Template: Permits
Project #
20150187
Project Name
Yelm Co-op
Y6
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