20160383 Permit Pkt 12012016City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Permit No.: 20160383
Issue Date: 12/01/2016
(Work must be completed within 180 days)
Applicant:
Name: GORDONS GARDEN CENTER Phone
Address: P.O. BOX 447
YELM WA 98597
Property Information:
Site Address: 308 YELM AVE E Owner:
Assessor Parcel No.: 99000114600 Subdivision:
Contractor Information:
Name: GORDONS GARDEN CENTER Phone:
Address:
P.O. BOX 447
YELM WA 98597
Contractor License No.: Expires: 0 /00 /0000
Project Information:
Project: OTHER SPECIAL EVENT
Description of Work: CLEO CASH REDEMPTION
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item
SE
Contractor
GORDONS GARDEN CENTER
TOTAL FEES:
Applicant's Affidavit:
I certify that have read and examined the information contained within the application and know the same
to be true e rrect. I also certify that the proposed structure is in conformity with all applicable City of
Ye lm regul ti ns those governing zoning and land subdivision, and in addition, all covenants,
easements and rd. If applying as a contractor, I further certify that I am currently
registered i th Ni St to of ashington. n
Signature Date L
Firm % �5
458 -2487
Lot:
Fees
$ 0.00
$ 0.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
11129/2016 10:55 Gordons Garden Center (FAX)360 458 8427 P.0011001
City of Yelm
Comrraunity Development Department
SPECIAL EVENT / TEMPORARY USE
APPLICATION
Special Event Sign
Temporary ermit (limited , mltea to 14 as sary Use (props Y 4 times per calendar year)
I tY owner permisslon letter required)
(See REVERSE for regulatlonS)
NAME OF PROJECT /7_ t
Mailing
City, State and Zip
Telephone IS-
City of Yelrn Business License Number E AI
SITE OW/yER
Mailing Address
City, State and Zip i l
SITE ADDRESS/LOCA
S /TE PAP L
OF
/\ Vt L° lr
START BATE 1 .,
TE
V
I affirm that all answers, Bfatemenfs and accurate to the best of m Information above and submitted with the owner to act with respect to this e. I also affirm that 119 the owner of he this
site or�am duty complete author and
employees end representatives A ro this a Cty of application, Further I ®rant permission from the owner to an and
biy n of the City et Yelm end other u!y authorized by
said propetty,M-4 onsbiy necessary governmental agencies to enter upon and inspect ry to process this application. Sianed il" -.- n
ROUTING:
106 Yelm Aueseue
PO Box 42.9
Yelm, WA 96597
2
SPECIAL EVENT
TEMPORARY USE Building Section
Planning Sectlon
Building Section
(e6oj 48'8- -8886
(860) 468 -3144 FAX
rur -Clyelm.raa,us