20170232 Permit Pkg 06092017Applicant:
City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Permit No.: 20170232
Issue Date: 6/0912017
(Work must be completed within 180 days)
Name: WHITE HORSE
Phone: 360- 458 -4555
Address: P.O. BOX 876
YELM WA 98597
Property Information:
Site Address: 107 YELM AVE E
Owner:
Assessor Parcel No.: 64400500300
Subdivision: Lot:
Contractor Information:
Name: WHITE HORSE
Phone:
Address:
P.O. BOX 876
YELM WA 98597
Contractor License No.:
Expires: 0 /00 /0000
Project Information:
Project: OTHER SPECIAL EVENT
Description of Work: BEER GARDENS. JUNE 23 THRU 25, 2017. FENCE OFF REAR 3 PARKING SPACES
DURING PRAIRIE DAYS.
OFFICER EIKUN DID SITE VISIT ON JUNE 8, 2017 AND
APPROVED BEER GARDEN
PLAN.
Sq. Ft. per floor:
Heat Type (Electric, Gas, Other):
First
Second
Third
Garage
Basement
Fees:
Item
SE
Contractor
WHITE HORSE
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 a d correct. I also certify that the proposed structure is in conformity with all applicable City of
Yelm regul tions including those governing zoning and land subdivision, and in addition, all covenants,
easement and r s of record. If applying as a contractor, I further certify that I am currently
registered in the ta�te o Washington. I A
� I X11
Fees
$ 0.00
$ 0.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
� City of Yelm
Commui c'�-i Ce r 0I Vw).. C+ A
SPECIA RO r5-e St f e V S 1 6W 8 /V
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V Special Event Sign Permit (limited to P (an _
Temporary Use (property owner permis
(see REVERSE fi
NAME OF PROJECT f - (Z12- 6A-�-21> F r�
APPLICANT /BUSINESS NAME Wk I -rp- ko P_S9
Mailing Address 'Po 13.6 X -7
City, State and Zip 9 2 5
Telephone 'l 5Y - -9555 ElVfAlL
City of Yelm Business License Number t 7- I y 1-7 -10972-,
N U -3 bO - - y tf
SITE OWNER —
Mailing Address
City, State and Zip
Telephone EMAIL
SITE ADDRESS /LOCATION 1 f) -7 F_ S!-
SITE PARCEL NUMBER L 4 LI D o 5 o o 3 o o
SUMMARY OF REQUEST P j r7 f c_C OF E 12 _21 P0qi2 tr 1r_f G-
S P A-C,E j b oa i►-,fllr oAy s.
START DATE 1 7 END DATE -7
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 representatidecessary of the City of Yelm and other governmental agencies to enter up i
said property as a onabl to process this application.�(�
Signed Date JUN4 2 Z
"! Dii
ROUTING: SPECIAL EVENT Building Section
TEMPORARY USE Planning Section Building Section
105 Yelm Auenue West (360) 458 -3835
Yelm, WA 98597 (360) 458 -3144 FAX
www.ci.yelm.wa.us
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