20160370 Permit Pkg 11222016City 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
RAINIER WA 98576
Property Information:
Site Address: m� 1 1ST STREET
Assessor Parcel No.:
Contractor Information:
Name: A NOVEL BOOK STORE
Address:
412 REFLECTION LANE
RAINIER WA 98576
Contractor License No.:
Subdivision:
Permit No.: 20160370
Issue Date: 11/22/2016
(Work must be completed within 180 days)
Phone: 360- 458 -4722
Owner:
Phone:
Expires: 0 /00 /0000
Project Information:
Project: OTHER SPECIAL EVENT
Description of Work: HOLIDAY SALE. NOV 26 THRU DEC 10, 2016
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 r�gulation�j�st se governing zoning and land subdivision, and in addition, all covenants,
easemgnts and estrictions of ecord. If applying as a contractor, I further certify that I am currently
registers d in th tate of W hington.
Signatures /Vv7 t I ,,� It) r Date I i• 77 • I V
Firm
Lot:
Fees
$ 0.00
$ 0.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By: