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20170245 Permit Pkg 06212017Applicant: City of Yelm Community Development Department Building Division Phone: (360) 458 -8407 Fax: (360) 458 -3144 Permit No.: 20170245 Issue Date: 6/21/2017 (Work must be completed within 180 days) Name: TRIAD THEATER Phone: 702- 845 -5925 Address: 102 YELM AVE E YELM WA 98597 Property Information: Site Address: 102 YELM AVE E Owner: Assessor Parcel No.: 64400600900 Subdivision: Lot: Contractor Information: Name: TRIAD THEATER Phone: Address: 102 YELM AVE E YELM WA 98597 Contractor License No.: Expires: 0 /00 /0000 Project Information: Project: OTHER SPECIAL EVENT Description of Work: BIG FOOT EVENT AND ART GALLERY REOPENING. JUNE 16 THRU 18TH, 2017 Sq. Ft. per floor: Heat Type (Electric, Gas, Other): First Second Third Garage Basement Fees: Item SE Contractor TRIAD THEATER 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 corre so certi that the proposed structure is in conformity with all applicable City of Yelm regul tions including those g erning zoning and land subdivision, and in addition, all covenants, easements nd re ctions of reco . If applying as a contractor, I further certify that I am currently registered i the S t of Washin on. Signature Date Firm( (� Fees $ 0.00 $ 0.00 OFFICIAL USE ONLY # Sets of Prints: Final Inspection: Date: By: Pq City of Yelm Community Development Department SPECIAL EVENT I TEMPORARY USE APPLICATION LM SHIHGTOH WA H 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 PRO.IECT EvOlf APPLICANTZBUSI ESS N E Mailing Address City, State Zod ZIP Telephon 5 < EMAIL City of Yefrri B iness License umber SITE OWNER Mailing Address 1 City, State and Z' Telephone MAIL SITE AjDDR SZ CAI SITE PARC#L NUM- ER SUMM Y OF REQUEST START DATE I END DATE WED Ptl 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 this application. Further, I grant permission from the owner to any and all employees an p esent ve of the City of Yelm and other governmental agencies to nter upon and inspect said grope as r sona ly n c sa t p cess this application. Signed t ' Date ROUTING: SPECIAL EVENT TEMPORARY USE Building Section Planning Section Building Section __ 105 Yelm Avenue West (360) 458 -3835 Yelm, WA 98597 (360) 458 -3144 FAX www.ci.yelm.w¢.us �4(t+01rC T�1F p LM WASHINGTOM 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 l APPLICANT /BUS/ N AA E Mailing Address City, State and Zip Telephone - EMAIL G �' City of Yelm Business License Number SITE OWNER Mailing Address City, State and I ti Telephone ��.- EMAIL SITE ADDRESS /Lot T/ON SITE PARCEL NUMBER SUMMARY OF REQUEST START ®ATE 1-► D DATE 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 a ep Jabl es of the City of Yelm and other governmental agencies to enter upon and ins ect said prop a as r sneces a t rocess this a lication. P P A application. �� 16 Signed Date l l� 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