20170157 Permit Pkg 03312017City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:
Name: J & I POWER EQUIPMENT
Address: 3729 PACIFIC AVE
OLYMPIA WA 98501
Property Information:
Site Address: 10615 BALD HILLS RD SE
Assessor Parcel No.: 64303300100 Subdivision: N/A
Contractor Information:
Name: J & I POWER EQUIPMENT
Address:
3729 PACIFIC AVE
OLYMPIA WA 98501
Contractor License No.: Expires
Permit No.: 20170157
Issue Date: 3/31/2017
(Work must be completed within 180 days)
Phone: 360- 400 -6000
Owner:
Lot:
Phone:
0 /00 /0000
Project Information:
Project: OTHER SPECIAL EVENT
Description of Work: KUBOTA ORANGE DAYS APRIL 20 THRU APRIL 29, 2017
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item
SE
Contractor
J & I POWER EQUIPMENT
TOTAL FEES:
Applicant's ffidaA
I certify that I have read an4cefy ed the information contained within the application and know the same
to be true apolcorrect. I alshat the proposed structur e is in conformity with all applicable City of
Yelm regulations including tverning zoning and land subdivision, and in addition, all covenants,
easements and rem rictions . If applying as a contractor, I further certify that I am currently
registered in the S to of Wn.
Signature Date •3 �''�
`` L rw-�-
Firm
Fees
$ 0.00
$ 0.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
pt'amqhhh- City of Yelm Abil 70
Community Development Department
SPECIAL EVENT / TEMPORAR Y USE
APPLICATION
L
w41uI
LSpecial Event Sign Permit (limited to 14 days, 4 times per calendar year)
Temporary Use (property owner permission letter required)
(see REVERSE for regulations)
NAME OF PROJECT
APPLICANT /BUSINESS NAME L - {'
Mailing Address 1
City, State and 2 N7k Cj 4SC2 '7
Telephone 3U'C . X 1, D-1 i2 EMAIL A 11 t eI a C. '
City of Yelm Business License Number 1 —
SITE OWNER - " n e
Mailing Addres 372q / C
City. State and Zip I q p
Telephone 0 - t 6b EMAIL J-61 h /.
SITE ADDRESS /LOCATION MCI ( I t Ka c A
-qZi m.- w t\ 7
SITE PARCEL NUMBER
SUMMARY OF RE UEST C-
it VIA V. AAAP
�r
START DA T G' 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 necessary to process this application
Signed. —1\ Date 3, A 1
ROUTING SPECIAL EVENT
TEMPORARY USE
105 Yelm Avenue West
Yelm, %A 98597
Building Section
Planning Section Building Section
(360) 458 -3835
(360) 458 -3144 FAX
UWU'Xi,velrn. u!o. us