20170265 Permit Pkg 07252017City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:
Name: A NOVEL BOOK STORE
Address: 412 REFLECTIONS LANE
RAINIER WA 98576
Property Information:
Site Address: '%nr% FIRCT CT C
Assessor Parcel No.: 64420200100 Subdivision:
Contractor Information:
Permit No.: 20170265
Issue Date: 7/25/2017
(Work must be completed within 180 days)
Phone: 360- 458 -4722
Owner:
Name: A NOVEL BOOK STORE Phone:
Address: ROBERT MADDOX
412 REFLECTIONS LANE
RAINIER WA 98576
Contractor License No.: Expires
Project Information:
Project: OTHER SPECIAL EVENT
Description of Work: ANNIVERSARY SALE. AUG 1 THRU 14, 2017
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item
SE
Contractor
A NOVEL BOOK STORE
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 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,
easement and striction of record. If applying as a contractor, I further certify that I am currently
registered th t to of shington. —1
Signature �1 Date f WS
Firm
Lot:
Fees
$ 0.00
$ 0.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
—'11111illo;
OR
Tip City of Yelm
Community Development Department
SPECIAL EVENT I TEMPORARY USE
APPLICATION
LM
WASHINGTON
Special Event Sign Permit (limited to 14 days, 4 times per calendar year)
Temporary Use (property owner permission letter required)
(see REVERSE for regulations)
A) to N C- �>
NAME OF PROJECT
APPLICANT/BUSINESS NAME (,_
Mailing Address /7-
City, State and Zip
Telephone EMAIL
City of Yelm Business License Number
SITE OWNER c re) -
Mailing Address --2- kC, -F
City, State and Zip IL -�-J A 9 11
Telephone EMAIL 2) I,-, �,
SITE ADDRESSILOCATION
SITE PARCEL NUMBER
SUMMARY OF REQUEST
START DATE , , - t, - END 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 and representatives of the City of Yelm and other governmental agencies to enter upon and inspect
said property as reasonably ecessary to process this application. </ /
Signed Date L��L -�/n 1 -c)
ROUTING: SPECIAL EVENT
TEMPORARY USE
105 Yelm Avenue West
Yelm, WA 98597
Building Section
Planning Section Builds*ection
(360) 458 -3835
(360) 458 -3144 FAX
www.ci.yelm.wa.us
i ,3X576 ea )