20170231 Permit Pkg 06092017City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458-3144
Applicant:
Name: J AND M TOBACCO
Address: 9818 DONOVAN CT. SE
YELM WA 98597
Property Information:
Site Address: 806 YELM AVE E
Assessor Parcel No.: 22730121900
Contractor Information:
Name: J AND M TOBACCO
Address: JAMES & MARISELA CHAPMAN
9818 DONOVAN CT. SE
YELM WA 98597
Contractor License No.:
Project Information:
Project: OTHER SPECIAL EVENT
Permit No.: 20170231
Issue Date: 6/09/2017
(Work must be completed within 180 days)
Phone: 360- 593 -0420
Owner:
Subdivision. Lot:
Phone:
Expires: 0 /00 /0000
Description of Work: DO NOT BLOCK ADA PARKING SPACE. CAR SHOW AND SALES. CONTACT HEALTH
DEPT ABOUT SERVING FOOD.
Sq. Ft. per floor: First
Second
Third
Garage
Basement
Fees:
Item
SE
Heat Type (Electric, Gas, Other):
Contractor
J AND M TOBACCO
TOTAL FEES:
Applicant's Affidavit:
certify that 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,
easements and r ns of record. If applying as a contractor, I further certify that I am currently
registered the tate o ashington.
Signature JA7 r Date
Firm 2�F KA' 16 C [z,
Fees
$ 0.00
$ 0.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
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City of Yelm
Community Development Department
SPECIAL EVENT I TEMPORARY USE
APPLICATION
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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 C y✓' 5)WL-1 y s'&
APPLICANT /BUSINESS NAME Jd-M Toh c.cD C,.Gc
Mailing Address 9S/ �
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City, State and Zip, 1,o^f-4 7 �S
Telephone 3Z0 L <' X J ao EMAIL c t; f o bc,cco
City of Yelm Business License Number
SITE OWNER
Mailing Address SYlss" c-1 5-c
City, State and Zip yr /m k/ ,
Telephone 69 yflr EMAIL �; «� e o r -X -4�- � -
SITEADDRESS /LOCATION 90,c Im 41.,e f
SITE PARCEL NUMBER
SUMMARY OF REQUEST 5cz le r c t- 5
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START DATE 2,01-7 END DATE _/Z J-,—,7 c
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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 oft City of Yelm and other governmental agencies to enter upon and inspect
said property as s nab y nec ary to process this application.
Signed Date `' 2 01 ,7
LEGILAWMI
J UN !.i 71 t1 1
ROUTING: SPECIAL EVENT
TEMPORARY USE
105 Yelm Avenue West
Yelm, WA 98597
Building Section
Planning Section
Building Section
• - - - -- --- - -NN.M
(360) 458 -3835
(360) 458 -3144 FAX
www.ei.yelm.wa.us
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