20170109 Permit Pkg 01122017City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458-3144
Applicant:
Name: LIBERTY TAX SERVICE
Address: 715 YELM AVE E, STE 3
YELM WA 98597
Property Information:
Site Address: 715 YELM AVE E 3
Assessor Parcel No.: 99002045441 Subdivision:
Contractor Information:
Name: LIBERTY TAX SERVICE
Address:
715 YELM AVE E, STE 3
YELM WA 98597
Contractor License No.:
Permit No.: 20170109
Issue Date: 1/12/2017
(Work must be completed within 180 days)
Phone: 400 -1401
Owner:
Lot:
Phone:
Expires: 0 /00 /0000
Project Information:
Project: OTHER SPECIAL EVENT
Description of Work: FEBRUARY 6 THRU 20, 2017
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item
SE
Contractor
LIBERTY TAX SERVICE
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 orrect. I also certify that the proposed structure is in conformity with all applicable City of
Yelm regulati ns including those governing zoning and land subdivision, and in addition, all covenants,
easements a re5trittiens record. If applying as a contractor, I further certify that I am currently
registered in t e S e of Was ngton.
Signature i� Date
Firm CS
Fees
$ 0.00
$ 0.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By.
d4117CI651-
City of Yelm
SPECIAL EVENT /TEMPORARY USE
zSpecial Event Sign Permit
F-1 Temporary Use
Start Date: 2/6/2017
End Date: 2/20/2017
Applicant: LIBERTY TAX SERVICE
Owner: MITCH BROWN
Address: 715 YELM AVE E STE 3
Address:
YELM, WA 98597
Telephone: 360 -400 -1401
Telephone: 42-5- 773 -7124
Email: YELM_WA @LIBERTYTAX .COM Email:
Representative:
Mailing Address:
Telephone:
Email:
General location of the project:
Assessor's Tax Parcel Number:
Description of Project:
Attach a site plan no larger than 11"
X 17" showing the proposed development.
Yelm City Hall
105 Yelm Avenue West
Yelm, WA 98597
(360) 458 -3244
(360) 458 -4348 FAX
www.d.yelmma.us
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