20170177 Permit Pkg 06012017City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:
Name: PREMIER COLLISION CARSTAR YELM
Address: 111 NORTH G ST
TACOMA WA 98403
Property Information:
Site Address: im FIRST CT N
Assessor Parcel No.:
Contractor Information:
Subdivision:
Name: PREMIER COLLISION CARSTAR YELM
Address:
111 NORTH G ST
TACOMA WA 98403
Contractor License No.:
Permit No.: 201 70177
Issue Date: 6/01/2017
(Work must be completed within 180 days)
Phone: 360- 480 -4659
Owner:
Lot:
Phone:
Expires: 0 /00 /0000
Project Information:
Project: OTHER SPECIAL EVENT
Description of Work: TEMP NEW BUSINESS BANNER. MAY 30 THRU JUNE 12, 2017
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item Contractor
SE PREMIER COLLISION CARSTAR YELM
TOTAL FEES:
Applicant' Affidavit:
I certify th I have read and examined the information contained within the application and know the same
to be tru and correct. I also certify that the proposed structure is in conformity with all applicable City of
Yelm re ulation u ing ose governing zoning and land subdivision, and in addition, all covenants,
ease me is an estrictions f record. If app ying as a contractor, I further certify that I am currently
register d in t o Stat f ashi o
Signatur kq I Date I
Firm
Fees
$ 0.00
$ 0.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
City of Yelm
Community Development Department
SPECIAL EVENT I TEMPORARY USE
APPLICATION
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 jam,' O - 1AL) n CAf15— AII
APPLICANT /BUSINESS NAME
Mailing Address III IV . v- S -
City, State and Zip
Telephone ilS`s- LS ,4; EMAIL
City of Yelm Business License Number
SITE OWNER j4h& Lars
Mailing Address lo 5
City, State and Zip %,C-\ L�J&- 98 y7
Telephone LIB rS - a< ,5eJ EMAIL ✓ 4--
SITE ADDRESS /LOCATION ✓►1&.++ ce-11 36t) 44b) Llc, S Cl
SITE PARCEL NUMBER
SUMMARY OF REQUEST
START DATE END DATE
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 li�Ll� rJXf Date
7
CO V4-N
ROUTING: SPECIAL EVENT Building Section
TEMPORARY USE Planning Section Buil 'r Section
105 Yelm Avenue West
Yelm, WA 98597
(360) 458 -3835
(360) 458 -3144 FAX
www.ci.yelm..wa.us