20160351 Permit Pkg 10262016City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:
Name: ROAD RUNNER EXPRESS
Address: 203 YELM AVE. WEST
YELM WA 98597
Property Information:
Site Address: 7411 YFI M AVF W
Assessor Parcel No.: 85800300100
Contractor Information:
Name: ROAD RUNNER EXPRESS
Address: KATHERINE BROLLEIR
203 YELM AVE. WEST
YELM WA 98597
Contractor License No.:
Project Information:
Project: OTHER SPECIAL EVENT
Description of Work: 10 YEAR ANNIVERSARY
Sq. Ft. per floor: First
Second
Third
Garage
Basement
Fees:
Item
SE
Permit No.: 20160351
Issue Date: 10/26/2016
(Work must be completed within 180 days)
Phone: 458 -9665
Owner:
Subdivision. Lot:
Phone:
Expires: 0 /00 /0000
Heat Type (Electric, Gas, Other):
Contractor
ROAD RUNNER EXPRESS
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 a correct. I also certify that the proposed structure is in conformity with all applicable City of
Yelm regulalions in6luding those governing zoning and land subdivision, and in addition, all covenants,
easements nd restrictions of recgtd. If applying as a contractor, I further certify that I am currently
registered in,the St at `o ashington.
Signature (( Date
Firm CC
Fees
$ 0.00
$ 0.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
R ELM
WASHINGTON
City of Yelm
SPECIAL EVENT /TEMPORARY USE
V
zSpecial Event Sign Permit
❑ Temporary Use
Start Date: 11/1/16
End Date: 11/16/16
Applicant: Road Runner Express Espresso Fa Owner: Katherine Brollier/ Neiburger
Address: 203 Yelm Ave W
Address:
Yelm, WA 98597
Telephone: 360 - 458 -9665
Telephone:
Email: kathydbrollier @gmail.com
Email:
Representative: Kathy Brollier
Mailing Address: PO BOX 3094
Yelm, WA 98597
Telephone: 253- 370 -7870
Email: Kathydbrollier @gmail.com
General location of the project: 203 Yelm Ave W
Assessor's Tax Parcel Number:
Description of Project:
10 Year Anniversary
ROADRUNNEREXPRESSCAFE.COM
Attach a site plan no larger than 11"
X 17" showing the proposed development.
Yelm City Hall (360) 458 -3244
105 Yelm Avenue West (360) 458 -4348 FAX
Yelm, WA 98597 www.d.yelm.wa.us