20170192 Permit Pkg 05132017City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:
Name: JUNK QUEEN
Address: 11123 SHAW RD SE
YELM WA 98597
Property Information:
Site Address: Z1 n R A 11 Dr%A n ¢T KInA1
Assessor Parcel No.: 22719310402 Subdivision:
Contractor Information:
Name: JUNK QUEEN
Address:
11123 SHAW RD SE
YELM WA 98597
Contractor License No.:
Permit No.. 20170192
Issue Date: 5/1312017
(Work must be completed within 180 days)
Phone: 503 - 703 -0072
Owner:
Phone:
Expires: 0 /00 /0000
Project Information:
Project: OTHER SPECIAL EVENT
Description of Work: GRAND OPENING BANNER ON FRONT OF STORE. MAY 13 THRU 27, 2017
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item
SE
Contractor
JUNK QUEEN
TOTAL FEES:
Applicant's Aff idavit:
I certify tha II 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 regulation turfing hose governing oning and land subdivision, and in addition, all covenants,
easement$ 3t f etriction of record. If p ing as a contractor, I further certify that I am currently
registered in the a o hingto -
Signature Date 5i ' 1r7
Firm C �,.n'� l nn 1n
Lot:
Fees
$ 0.00
$ 0.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
P bv City of Yelm
OCommunity Development Department
SPECIAL EVENT I TEMPORARY USE
APPLICATION
ELM
WAiNINGTON
Special Event Sign Permit (limited to 14 days, 4 times per calendar yearl
Temporary Use (property owner permission letter required)
(see REVERSE for regulations) MAY 9
m:
NAME OF PROJECT I c
APPLICANT /BUSINES AM
Mailing Address )
City, State and Zip etry-,
Telephone - D ' EMAIL o
City of Yelm Business License Number
SITE OWNER v i
Mailing Address 1 1 17-5
City, State and Zip
Telephone - F EMAIL wv,{�l vz�•L�Sm
SITE ADDRESS /LOCATION
SITE PARCEL NUMBER
SUMMARY OF REQUEST - D
START DATE 5 T 1-7 END DATE / Z 2
1 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 )llC� Date U Z-- n-t4r-y/ 2
c
ROUTING: \SPECIAL EVENT —/ Building Section
TEMPORARY USE Planning Section Building Section
105 Yelm Avenue West (360) 458 -3835
Yelm, WA 98597 (360) 458 -3144 FAX
www.ci.yelm.wa.us