20170108 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: 71r, YFI M AVF F
Assessor Parcel No.: 99002045441
Contractor Information:
Subdivision:
Permit No.: 20170108
Issue Date: 1/1212017
(Work must be completed within 180 days)
Phone: 400 -1401
Owner:
Name: LIBERTY TAX SERVICE Phone:
Address:
715 YELM AVE E, STE 3
YELM WA 98597
Contractor License No.: Expires
Project Information:
Project: OTHER SPECIAL EVENT
Description of Work: JANUARY 16 THRU 30, 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:
certify that I have read and examined the information contained within the application and know the same
to be true and c rect. I also certify that the proposed structure is in conformity with all applicable City of
Yelm regulationkincluding those governing zoning and land subdivision, and in addition, all covenants,
easements and! restricMns of ord. If applying as a contractor, I further certify that I am currently
registered in th� StatAof Wash gton. _ ,
Signature ` x/�/t'� '�L) V `/ j4vf
, Date
Ya Q ' • ��
Firm L-1 I 1 "r
Lot:
Fees
$ 0.00
$ 0.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
A/70/08
SPECIAL EVENT /TEMPORARY USE
zSpecial Event Sign Permit
Temporary Use
Start Date: 1/16/2017
End Date: 1/30/2017
Applicant: LIBERTY TAX SERVICE
Owner: MITCH BROWN
Address: 715 YELM AVE E STE 3
Address:
YELM, WA 98597
Telephone: 360 - 400 -1401
Telephone: 425 - 773 -7124
Email: YELM_WA @LI6ERTYTAX .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.ci.yelm.wa.us
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LIBERTY
Tax
SERVICE
715 E Yelin Ave Suite 3
Yelm, WA 98597
Phone: (360) 400 -1401
FAX: (360) 350 -5601
To:_ • i i v o� �'LLM
ATTN:
FROM:„ ( (� I A- k , C e V (C-6
FAX NUMBER: 3 Coo , 5 ez 3 1
SUBJECT: S e c-W- �t 0� Aj S LG N PCs,( Mt
NO. OF PAGES .
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