20160228 Permit Pkg 05202016City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:
Name: A NOVEL BOOK STORE
Address: 412 REFLECTION LANE
RAINER, WA 98597
Property Information:
Site Address: inr% 1 1 qT CTRf =GT
Assessor Parcel No.:
Contractor Information:
Name: A NOVEL BOOK STORE
Address:
412 REFLECTION LANE
RAINER, WA 98597
Contractor License No.:
Subdivision:
Permit No.: 201 60228
Issue Date: 5/20/2016
(Work must be completed within 180 days)
Phone:
Owner:
Phone:
Expires: 0 /00 /0000
Project Information:
Project: OTHER SPECIAL EVENT
Description of Work: SPRING SALE MAY 19 THRU JUNE 1, 2016 SIGNS AND BANNER
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item
SE
Contractor
A NOVEL BOOK STORE
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 State of Washington.
9
Signature�tc^,X— e AGE Date E 2-0/a
Firm
Lot:
Fees
$ 0.00
$ 0.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458 -3144
Applicant:
Name: A NOVEL BOOK STORE
Address: 412 REFLECTION LANE
RAINER, WA 98597
Property Information:
Site Address: 305 1 1ST STREET
Assessor Parcel No.:
Project Information:
Project: OTHER SPECIAL EVENT
Description of Work:
Sq. Ft. per floor:
Fees:
Item
Subdivision:
Permit No.: 20160228
Fee Calculation Worksheet
Phone:
Owner:
SPRING SALE MAY 19 THRU JUNE 1, 2016 SIGNS AND BANNER
First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Units
TOTAL FEES:
PAYMENTS MADE:
BALANCE DUE:
Lot:
Fees
$ 0.00
$ 0.00
`c►bf 11—ft p
4
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YELM
WAiNINC TON
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City of Yelm
Community Development Department
SPECIAL EVENT/ 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 ,4,IVU v i ff-Clot S ZL � --4 le
APPLICANT /BUSINESS NAME 4 t' If
Mailing Address i c� /�/ c'�c �'�� L rv�•
City, State and Zip 9/1-s" -e,-- WA `ffs -� b
Telephone 3(.�c> �%S`� �4? Z2 EMAIL
City of Yelm Business License Number
SITE OWNER P,4 K
Mailing Address
City, State and Zip
Telephone EMAIL
SITE ADDRESS /LOCATION G 5 sr s'� j�� . y / >', w !i 5' -r"F7
SITE PARCEL NUMBER `
SUMMARY OF REQUEST 777.7pi a S``44 Tip, C -_.. -. B4'An �e�-
START DATE 5-119116 END DATE -797 Ab, / 22olL
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 prope Qably necessary to process this application. /
Signed �� �`c�'✓ D ate 5 �L
ROUTING: SPECIAL EVENT Building Section
TEMPORARY USE Planning Section Building Section
105 Yelm Avenue West (360) 458 -3835
PO Box 479 (360) 458 -3144 FAX
Yelm, WA 98597 www.ci.yelm.wa.us