20170201 Permit Pkg 05252017City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:
Name: CROWE LAW OFFICE
Address: 715 YELM AVE E #1
YELM WA 98597
Property Information:
Site Address: in7 YFI M AVF F
Assessor Parcel No.: 64420901600 Subdivision:
Contractor Information:
Name: CROWE LAW OFFICE
Address:
715 YELM AVE E #1
YELM WA 98597
Contractor License No.:
Permit No.: 20170201
Issue Date: 5/25/2017
(Work must be completed within 180 days)
Phone: 360- 960 -8366
Owner:
Phone:
Expires: 0 /00 /0000
Project Information:
Project: OTHER SPECIAL EVENT
Description of Work: PRAIRIE DAYS BANNER AND BUNTING. JUNE 24 THRU 26, 2017
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item
SE
Contractor
CROWE LAW OFFICE
TOTAL FEES:
Applicant's Affidavit:
certify that I have read and examined the information contained within the application and know the same
to be true and corr . a s rtify that the proposed structure is in conformity with all applicable City of
Yelm regulations ncluding tho governing zoning and land subdivision, and in addition, all covenants,
easement and stricti s of ecord. If applying a con ractor, I further certify that I am currently
registered n th t t Wa ton.
Signature et_---J�4ErY— Date
Firm
Lot:
Fees
$ 0.00
$ 0.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
City of Yelm
f '�•,,�. Community Development Department
SPECIAL EVENT I TEMPORARY USE
APPLICATION
i
waaaatae.
Special 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 �rar, -, n T)A t4 2
APPLICANT /BUSINESS NAME
Mailing Address 36 Z
City, State and Zi LJ aj m A 01175 C!
Telephone 3 / 1 , 9 )t a EMAIL
City of Yelm Business License Number
110-)LQ1P'
SITE OWNER !
Mailing Address 3A Z P U ()rn ;I-c,--t
City, State and Zip Ci 11
Telephone " EMAIL
SITE ADDRESS /LOCATION
SITE PARCTL NUMBER
D
SUMMARY OF REQUEST
START DATE L4 &1 END DATE 11124
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 nece sary to process this application.
Sign Date
ROUTING: SPECIAL EVENT Building Section
TEMPORARY USE Planning Section Building Section
105 Yel.n Avenue West
Yelm, WA 98597
(360) 458 -3835 9IF MAY ?22011
BY: -------------- - - - - --