20160332 Permit Pkg 09162016City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:
Name: NISQUALLY MOOSE LODGE
Address: PO BOX 757
YELM WA 98597
Property Information:
Site Address: 1117 YELM AVE W
Assessor Parcel No.: 21744120301 Subdivision:
Contractor Information:
Name: NISQUALLY MOOSE LODGE
Address:
PO BOX 757
YELM WA 98597
Contractor License No.:
Permit No.: 20160332
Issue Date: 9/16/2016
(Work must be completed within 180 days)
Phone:
Owner:
N/A
Phone:
Expires: 0 /00 /0000
Project Information:
Project: OTHER SPECIAL EVENT
Description of Work: SANTAS LITTLE HELPERS 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
NISQUALLY MOOSE LODGE
TOTAL FEES:
Applicant' Affidavit:
I certify th t 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 regulatioqs in luding those governing zoning and land subdivision, and in addition, all covenants,
easements and ' striction f record. If applying as a contractor, I further certify that I am currently
registered in t tate of ashingto
I
Signature
Firm
Lot: N/A
Fees
$ 0.00
$ 0.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
City of Yelm
Community Development Department
SPECIAL EVENT I TEMPORARY USE
APPLICATION
Y L
WASHINGTON
Special Event Sign Permit (limited to 14 days, 4 times per calendar year)
Temporary Use (property owner permission letter required)
(see REVERSE for regulations)
OF ORGANI7 T,w, N
Purpose of Organization
CONTACT PERSON -Z) &-,A- ,,ZP , t -
PHONE NUMBER \,J 4, 6) - i i Emergency Phone
Nature of Event X tc y i '
Date(s) of Event nO -7- CJ % o
Requested Dates to use Banner Cables (maximum two weeks)
/V -/ - �U i41
D cription.of Banner (size, col�►r, wording, etc.) �a 1
Desired Banner Location
Name of Banner Installer - Installation Contact Contact Person �--
Dav Phone Number,2/06 VIKZ) 21P 121 Evening Phone Number
I have reviewed the City's Banner Policy and understand the restrictions and conditions placed
on the use of the banner cable . SaMcly - �3 rrn er �* eow�ee�S{ r
Name Title
ROUTING: SPECIAL EVENT
TEMPORARY USE
105 Yelm Avenue West
Yelm, WA 98597
Building Section PP r
Planning Section Building Seanon v
(360) 458-3835
(360) 458 -3144 FAX
www.ci.yelm.wa.us