20160278 Permit Pkg 07012016City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:
Name: YELM LIQUOR & BEVERAGE
Address: 16602 106TH AVE SE, STE Al
YELM WA 98597
Property Information:
Site Address: 1FFf1r% InAT14 AVF SF STF Al
Assessor Parcel No.:
Contractor Information:
Name: YELM LIQUOR & BEVERAGE
Address:
16602 106TH AVE SE, STE Al
YELM WA 98597
Contractor License No.:
Subdivision:
Permit No.: 20160278
Issue Date: 7/01/2016
(Work must be completed within 180 days)
Phone: 458 -4014
Owner:
Phone:
Expires: 0 /00 /0000
Project Information:
Project: OTHER SPECIAL EVENT
Description of Work: STAR SPANGLED SAVINGS JUNE 30 THRU JULY 14, 2016
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item
SE
Contractor
YELM LIQUOR & BEVERAGE
TOTAL FEES:
Applicant's Affidavit:
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
Lot:
Fees
$ 0.00
$ 0.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
Jun.30.2016 10:54 AM Yelm Liquor & Beverage 3604554014 PAGE. 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)
i7
NAME OF PROJECT
APPLICANT /BUSINESS NAME a�
Mailing Address %Cc�o '�
City, State and Zip
Telephone - a I EMAIL '
City of Yelm Business License Number / (o - 21D!5-9
SITE OWNER Y'
Mailing Address
City, State and Zip
Telephone �j'Ce 4f�-7 ZI EM IL
SITE ADDRESS /LOCATION
SITE PARCEL NUMBER
SUMMARY OF REQUEST
START DATE 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 1 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 no is 8pplicat' n. //
Signed Date Lo �cP
ROUTING: SPECIAL EVENT Building Section
TEMPORARY USE Planning Section Building Section
106 Yelm Avenue Went
Yelm, WA 98597
(asn) 46 S'�c
(360) 45 Fwa.ua 9 F Y
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13 Y ------------ - - - - -- -