20170168 Permit Pkg 04122017City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:
Name: A NOVEL BOOK STORE
Address: 412 REFLECTIONS LANE
RAINIER WA 98576
Property Information:
Site Address: m� FIRST ST C
Assessor Parcel No.: 64420200100 Subdivision:
Contractor Information:
Name: A NOVEL BOOK STORE
Address: ROBERT MADDOX
412 REFLECTIONS LANE
RAINIER WA 98576
Contractor License No.:
Permit No.: 20170168
Issue Date: 4/12/2017
(Work must be completed within 180 days)
Phone: 360- 458 -4722
Owner:
Phone:
Expires: 0 /00 /0000
Project Information:
Project: OTHER SPECIAL EVENT
Description of Work: SPRING SALE APRIL 7 THRU 21, 2017
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item
SE
Contractor
A NOVEL BOOK STORE
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 correct. I also certify that the proposed structure is in conformity with all applicable City of
Yelm regula I ons including those governing zoning and land subdivision, and in addition, all covenants,
easements nd restjrLtQr s of record. If applying as a contractor, I further certify that I am currently
registered i the ate of ashington.
Signature =11" Date"
Firm b
Lot:
Fees
$ 0.00
$ 0.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
'%W,
OcTA City of Yelm
N�
Community Development Department
SPECIAL EVENT/ TENIPORAR Y USE
APPLICATION
L P
WAiNINGTON
Special Event Sign Permit (limited to 14 days, d times per calendar year)
Temporary Use (property owner permission letter required)
(see REVERSE for regulations) U I r701 (R)
NAME OF PROJECT A K)D\/-#,1 i �� Y', � `V-� L (�
APPLICANT/BUSINESS NAME Pr IUOW C.
Mailing Address Z.
City, State and Zip
Telephone � EMAIL bo
City of Yelm Busine s License Number
SITE OWNER
Mailing Address
City, State and Zip
Telephone EMAIL
SITE ADDRESSILOCATION o S I
SITE PARCEL NUMBER
SUMMARY OF REQUEST °.. .
I
START DATE END DATE
1 affirm that all answers, statements and information above and submitted with this application are complete and
accurate the best of my knowledge. I also affirm that 1 am the owner of the subject site or am duly authorized by
the own r to act with respect to this application. Further, I grant permission from the owner to any and all
employ es and representatives of the City of Yelm and other governmental agencies to enter upon and inspect
said pro erty as reasonably necessary to process this application.
Signed Date r
ROUTING: SPECIAL EVENT Building Section
TEMPORARY USE Planning Section Building Section
105 Yelm Avenue West
Yelm, WA 98597
(360) 458 -3835
(360) 458 -3144 FAX
www.ci.yelm.wa.us