20160331 Permit Pkg 09162016City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:
Name: YELM COMMUNITY SCHOOLS
Address: P.O. BOX 476
YELM WA 98597
Property Information:
Site Address: 1141r%YFl M AVF W
Assessor Parcel No.: 21724210500
Contractor Information:
Name: YELM COMMUNITY SCHOOLS
Address:
P.O. BOX 476
YELM WA 98597
Subdivision: N/A
Contractor License No.: Expires
Permit No.: 20160331
Issue Date: 9/16/2016
(Work must be completed within 180 days)
Phone: 360- 458 -1900
Owner:
Phone:
0 /00 /0000
Project Information:
Project: OTHER SPECIAL EVENT
Description of Work: SUB CUSTODIAN NEEDED BANNER. SEPT 16 THRU OCTOBER 1, 2016
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item
SE
Contractor
YELM COMMUNITY SCHOOLS
TOTAL FEES:
Applic nt's Affidavit:
I certi that I have read and examined the information contained within the application and know the same
to be It ue and correct. I also certify that the proposed structure is in conformity with all applicable City of
Yelm I gulatiorys including those governing zoning and land subdivision, and in addition, all covenants,
easements and festrictions of record. If applying as a contractor, I further certify that I am currently
Lot: N/A
Fees
$ 0.00
$ 0.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
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City of Yelm PK33(
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 c,IjZ T/dl%e,�"'
APPLICANT /BUSINESS NAME V& 1 A-1114 i A, Tv r°
Mailing Address T C t - --
City, State and Zip � Itt
Telephone ,3/, -/ -VS J' - EMAIL 11110 O -- y��
City of Yelm Business License Number
SITE OWNER - _ 1 S : C'l'
Mailing Address
City, State and Zip
Telephone EMAIL
SITE ADDRESS /LOCATION 1315 1Vx ._
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 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 repre entatives of the City of Yelm and other governmental agencies to enter upon and inspect
said prop as re onably necessary to process this application. j /
Signed �t.�'Lr'R— Date" / 201&
ROUTING: SPECIAL EVENT Building Section
TEMPORARY USE Planning Section Building Section
105 Yelm Avenue West
Yelm, WA 98597
(360) 4 3 9 1:J G�
(360) 4
www.ci Gn.wa.us
SEP 2016
BY: --------- - - - - --