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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