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20170253 Permit Pkg 06292017City of Yelm Community Development Department Building Division Phone: (360) 458 -8407 Fax: (360) 458 -3144 Applicant: Name: YELM LIQUOR & BEVERAGE Address: 16602 106TH AVE SE, STE Al YELM WA 98597 Property Information: Site Address: 1RRf15 inATH AVIF CF CTF Al Assessor Parcel No.: Contractor Information: Name: YELM LIQUOR & BEVERAGE Address: 16602 106TH AVE SE, STE Al YELM WA 98597 Contractor License No.: Subdivision: Permit No.: 20170253 Issue Date: 6/29/2017 (Work must be completed within 180 days) Phone: 458 -4014 Owner: Phone: Expires: 0 /00 /0000 Project Information: Project: OTHER SPECIAL EVENT Description of Work: 4TH OF JULY SALE JUNE 29 THRU JULY 4, 2017 Sq. Ft. per floor: First Heat Type (Electric, Gas, Other): Second Third Garage Basement Fees: Item SE Contractor YELM LIQUOR & BEVERAGE TOTAL FEES: Applicant's Affidavit: I certify that I Piave read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm regulat ns inWdKg th se governing z ning and land subdivision, and in addition, all covenants, easements d res r ions f record. If a pl ing as a contractor, I further certify that I am currently registered in he St of w Signature Date Firm �I�iI uLt �y Ao� Lot: Fees $ 0.00 $ 0.00 OFFICIAL USE ONLY # Sets of Prints: Final Inspection: Date: By: Jun.29.2017 02:21 PM Yelm Liquor & Beverage 3604584014 City of Yelm PAGE. 1/ 1 .o r7C , Community Development USE SPECIAL EVENT/ TE MPO 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 Mailing Address City, State and Zip MAIL Telephone City of Yelm Business License Number Mailing Address City, State and Zip Telephone �- T © 3� E AI SITE ADDRESS /LOCATION TE PARCEL NUMBER SUMMARY OF REQUEST ART DA DATE E affirm that all answers, y knowledgedI also affirm that I am the owner of he subject site ojrr am duly authorized by accurate to the best of my with respect to this appllcatian. Further, l grant permission from the owner to any and all the owner to act employers and rwith entativea a City of Yelm and other governmental agencies to enter upon and inspect said property as reasons a roces placation. %% Sig ROUTIN(1 SPECIAL EVENT Building Section TEMPORARY USE Planning Section Building Section - (860) 468 -3835 105 Yelm Avenue W @et (360) 458 -3144 FAX Yelm, WA 98597 WWW.ci yelm.Wa.U6