20170256 Permit Pkg 07102017City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458 -3144
Applicant:
Name: SADTLER REV TR
Address: 3350 W STATE HWY 16
PORT ORCHARD WA 98367
Property Information:
Site Address: A17 YFI M AVIF F
Assessor Parcel No.: 22719340500
Contractor Information:
Name: SADTLER REV TR
Address:
3350 W STATE HWY 16
PORT ORCHARD WA 98367
Contractor License No.:
Permit No.: 20170256
Issue Date: 7/10/2017
(Work must be completed within 180 days)
Phone
Owner:
Subdivision:
Phone:
Expires: 0 /00 /0000
360 - 710 -3564
Lot:
Project Information:
Project: OTHER SPECIAL EVENT
Description of Work: MATTRESS RANCH GRAND OPENING JULY 11 THRU 22, 2017. BIG COW TRAILER IN
FRONT OF STORE
Sq. Ft. per floor: First
Second
Third
Garage
Basement
Fees:
Item
SE
Heat Type (Electric, Gas, Other):
Contractor
SADTLER REV TR
TOTAL FEES:
Applicant's ffidavit:
I 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 tion uding a governing zpning and land subdivision, and in addition, all covenants,
easement an trictions of cord. If appl ing as a contractor, I further certify that I am currently
registered n the ate of W hington. -kA Signature Ij !� I Date (�
Firm �� ll �!7 'R "IA 0 ,In -
Fees
$ 0.00
$ 0.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
Community Development Department
SPECIAL EVENT I TEMPORARY USE
APPLICATION
k70,�,5k
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 %V1 /`� /� � SS A II IV 6 H
APPLICANT /BUSINESS NAME MRX S.�dRcyZ
Mailing Address
City. State and Zip
Telephone 3,o 7/0 EMAIL -
�f9il" ^4770e-�S/t�ti�t/
City of Yelm Business License Number
SITE OWNER 1419y 4- Yt/oyy Sf 2r -z I�ST-
Mailing Address w Sr /6
City, State and Zip (, U, t -1A gi 067
Telephone EMAIL ��ri�i�TlnS /1�i`f/c�•��
SITE ADDRESS /LOCATION
SITE PARCEL NUMBER
SUMMARY OF REQUEST (/ T
START DATE :TUL y I/ 2o l-2 END DATE SciL z z zo 1-7
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 of the City of Yelm and other governmental agencies to enter upon and inspect
said property as reaso bly necessary to process this application.
Signed Date
ROUTING: SPECIAL EVENT Building Section
TEMPORARY USE Planning Section Building Section
105 Yelm Avenue West
Yelm, WA 98597
iUL 0 5 aQ ra
BY. ------- ...........,.
(360) 458 -3835
(360) 458 -3144 FAX
www.ci.yelm.wa.us