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