20170115 Permit Pkg 01242017City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Permit No.: 20170115
Issue Date: 1/24/2017
(Work must be completed within 180 days)
Applicant:
Name: IMAGES BY BRANT Phone
Address: P.O. BOX 408
MCKENNA WA 98558
Property Information:
Site Address: 104 YELM AVE E Owner:
Assessor Parcel No.: 64400600800 Subdivision:
Contractor Information:
Name: IMAGES BY BRANT Phone:
Address:
P.O. BOX 408
MCKENNA WA 98558
Contractor License No.: Expires: 0 /00 /0000
Project Information:
Project: OTHER SPECIAL EVENT
Description of Work: GRAND OPENING SIGNAGE FEB 1 THRU 15, 2017
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item
SE
Contractor
IMAGES BY BRANT
TOTAL FEES:
Applicant's Affidavit:
1 certify that have read and examined the information contained within the application and know the same
to be true a correct. I also certify that the proposed structure is in conformity with all applicable City of
Yelm regul ions inclu ose governing zoning and land subdivision, and in addition, all covenants,
easements nd r actions f record. If applying as a contractor, I further certify that I am currently
registered in the to of W shington.
Signature Date ' Zy'I -j
U�
Firm /(µ, a k /V
253 - 312 -3186
Lot:
Fees
$ 0.00
$ 0.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
YELM
WASHINGTON
City of Yelm
SPECIAL EVENT /TEMPORARY USE
Special Event Sign Permit
❑ Temporary Use
Start Date: 2 -1 -17
End Date: 2 -15 -17
Applicant: images By Brant
Owner: Shane Brant
Address: 104 E Yelm Ave
Address: 104 E Yelm Ave
Yelm, Wa 98558
Yelm, Wa 98558
Telephone: 503 - 706 -8046
Telephone: 503 - 706 -8046
Email: imagesbybrant @gmail.com
Email:
Representative: Tia Brant
Mailing Address: 9111 350th St. S
#408
MrLcnnn WA
�
Telephone: 253- 312 -3186
Email: imagesbybrant @gmail.com
General location of the project: 104 E Yelm Ave p
Assessor's Tax Parcel Number:
Description of Project:
Grand opening of a portrait studio
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