20160375 Permit Pkg 11232016City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:
Name: YELM LIQUOR & BEVERAGE
Address: 16602 106TH AVE SE, STE Al
YELM WA 98597
Property Information:
Site Address: 1RRnr. 1nRTW AVt= C1= CTt= Al
Assessor Parcel No.:
Contractor Information:
Name: YELM LIQUOR & BEVERAGE
Address:
16602 106TH AVE SE, STE Al
YELM WA 98597
Contractor License No.:
Subdivision:
Permit No.: 20160375
Issue Date: 11/23/2016
(Work must be completed within 180 days)
Phone: 458 -4014
Owner:
Lot:
Phone:
Expires: 0 /00 /0000
Project Information:
Project: OTHER SPECIAL EVENT
Description of Work: THANKSGIVING WEEKEND NOV 23 THRU 25, 2016
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item
SE
Contractor
YELM LIQUOR & BEVERAGE
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 reg Iatio s including t governing zoning and land subdivision, and in addition, all covenants,
Basemen s and r strictions of re rd. If applying as a contractor, I further certify that I am currently
registered in the tate of Was gton.
Signature 4�0 V Date (� 2
Firm
Fees
$ 0.00
$ 0.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
Nov.23.2016 10:54 AM Yelm Liquor & Beverage 3604584014 PAGE. 1/ 1
City of Yelm
lswardq�1_6*071 -- 37-5
Community Development Department
SPECIAL EVENT I TEMPORARY USE
APPLICATION
Special Event Sign Permit (limited to 94 days, 4 times per calendar year)
Temporary Use (property owner permission Metter required)
(see REVERSE for regulations)
NAME OF PROJECT :::2:TL� A.n , iNA,.\ CZ P
APPLICANT /BUSINESS NAME
Mailing Address
City, State and Zip
Telephone - zleOlq EMAIL
City of Yelm Business License Number
SITE OWNER
Mailing Address
City, State and Zip
Telephone EMAIL
SITE ADDRESS /LOCATION
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 representatives of the City of Yelm and other governmental agencies to enter upon and inspect
said property as reasonably is appli on.
Sign! ate
ROUTING: SPECIAL. EVENT Building Section
TEMPORARY USE Planning Section _ Building Section
105 Avenue West (880) 48 M 11J EC
Yelm, , W WA 98597 (ago) 4g
wwul.ct »a.un.us
cau rr 3 22016
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