20160371 Permit Pkg 11222016City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Permit No.: 20160371
Issue Date: 11/22/2016
(Work must be completed within 180 days)
Applicant:
Name: A NOVEL BOOK STORE Phone
Address: 412 REFLECTION LANE
RAINIER WA 98576
Property Information:
Site Address: 305 1 1ST STREET Owner:
Assessor Parcel No.: Subdivision:
Contractor Information:
N AN
ame. OVEL BOOK STORE Phone:
Address:
412 REFLECTION LANE
RAINIER WA 98576
Contractor License No.: Expires: 0 /00 /0000
Project Information:
Project: OTHER SPECIAL EVENT
Description of Work: HOLIDAY SALE. DEC 17 THRU 31, 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 tha I have read and examined the information contained within the application and know the same
to be true n correct. I also certify that the proposed structure is in conformity with all applicable City of
Yelm regu at,01 s inc u i se governing zoning and land subdivision, and in addition, all covenants,
easement and estrictions of ecord. If applying as a contractor, I further certify that I am currently
registered in t S ate of Wa ington.
Signature `� Date .
Firm a NU O Coo S�OV -P
360- 458 -4722
Lot:
Fees
$ 0.00
$ 0.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By: